Individual
JORDAN AVERITT WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
5303 INDIAN GRAVE RD, ROANOKE, VA 24018-9107
(540) 725-3060
(540) 772-4948
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5715
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173379
VA
Other
Enumeration date
03/15/2016
Last updated
08/15/2022
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