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1912368275
JORDAN AVERITT WHITE
ROANOKE, VA
NPI
1912368275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024173379)
Enumeration Date
2016-03-15
Last Update Date
2022-08-15
Business Address
JORDAN AVERITT WHITE NP-C
5303 INDIAN GRAVE RD
ROANOKE, VA 24018-9107
Phone number: 540-725-3060
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Mailing Address
JORDAN AVERITT WHITE NP-C
213 S JEFFERSON ST STE 1006
ROANOKE, VA 24011-1713
Phone number: 540-224-5715
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