Individual
CLODIA JORDAN CHAPPELL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1134 N ROAD ST STE 9, ELIZABETH CITY, NC 27909-3365
(252) 331-1100
Mailing address
1134 N ROAD ST STE 9, ELIZABETH CITY, NC 27909-3365
(252) 331-1100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12357
NC
Other
Enumeration date
07/12/2022
Last updated
08/22/2025
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