Individual
JENNA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
Mailing address
10808 BREWER HOUSE RD, ROCKVILLE, MD 20852-3417
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN2334639
MA
207L00000X
Anesthesiology Physician
Primary
0024190508
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024190508
VA
Other
Enumeration date
07/06/2021
Last updated
03/27/2026
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