Individual
JANET N WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
144 N OCEAN AVE, PATCHOGUE, NY 11772-2004
(631) 408-1545
Mailing address
1461 LAKELAND AVE UNIT 9, BOHEMIA, NY 11716-2174
(631) 467-8224
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
424426-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F302205-1
NY
Other
Enumeration date
07/01/2006
Last updated
02/09/2024
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