Jennifer White
NPI #1083137368 in Disputanta, Virginia
Provider Information
- NPI Number
- 1083137368
- Entity Type
- Organization
- Organization Name
- Jennifer White
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jul 19, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 6688 TATUM ROAD
- City
- Disputanta
- State
- Virginia
- ZIP Code
- 23842-6902
- Phone
- (804) 550-8674
Authorized Official
- Name
- JENNIFER JAYNE WHITE
- Title
- BILLING
- Phone
- (804) 550-8674
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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