JORDAN AVERITT WHITE

ROANOKE, VA
NPI1912368275
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VA  0024173379)
Enumeration Date2016-03-15
Last Update Date2022-08-15
Business Address
JORDAN AVERITT WHITE NP-C
5303 INDIAN GRAVE RD
ROANOKE, VA 24018-9107
Phone number: 540-725-3060
Mailing Address
JORDAN AVERITT WHITE NP-C
213 S JEFFERSON ST STE 1006
ROANOKE, VA 24011-1713
Phone number: 540-224-5715