MEDICARE: JORDAN LEE WHITE RN, BSN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN.539235	OH

General Provider Information

NPI Number	:	1447114806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORDAN LEE WHITE RN, BSN

Provider Business Mailing Address
First Line	:	3511 WOODRIDGE RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44121-1533
Country	:	US
Telephone Number	:	757-335-1971
Fax Number	:

Provider Business Practice Location Address
First Line	:	3511 WOODRIDGE RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44121-1533
Country	:	US
Telephone Number	:	757-335-1971
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

Similar Medicare Providers

1598393092 — EBONY MONIQUE EADDIE
Practice Location Address:

3523 WOODRIDGE RD
CLEVELAND HEIGHTS, OH
44121-1533

Practice Phone: 216-203-7387
Practice Fax:

1578191730 — BENEVOLENCE HOME CARE LLC
Practice Location Address:

3523 WOODRIDGE RD
CLEVELAND HEIGHTS, OH
44121-1533

Practice Phone: 216-203-7387
Practice Fax:

1437178001 — DR. JAMES M. HEKMAN MD
Practice Location Address:

10 SEVERANCE CIR
CLEVELAND HEIGHTS, OH
44118-1533

Practice Phone: 216-524-7377
Practice Fax: 216-479-5554

1447264478 — DANA L TALLEY RPH.
Practice Location Address:

10 SEVERANCE CIR , PHARMACY
CLEVELAND HEIGHTS, OH
44118-1533

Practice Phone: 216-297-2601
Practice Fax: 216-297-2610

1477566594 — DR. HOLLY RAE MILLER PHARMD
Practice Location Address:

10 SEVERANCE CIR
CLEVELAND HEIGHTS, OH
44118-1533

Practice Phone: 216-297-2508
Practice Fax:

1518070002 — DR. ANDREW L. ALTMAN M.D.
Practice Location Address:

10 SEVERANCE CIR
CLEVELAND HEIGHTS, OH
44118-1533

Practice Phone: 216-621-5600
Practice Fax: 216-297-2756

Directions to “ JORDAN LEE WHITE RN, BSN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.