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NPI Code Detail

MEDICARE: JENNA WHITE

MEDICARE: JENNA WHITE
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
1207L00000XAnesthesiology Physician0024190508VA

General Provider Information

NPI Number : 1629649140
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA WHITE
Provider Business Mailing Address
First Line : 10808 BREWER HOUSE RD
Second Line :
City : ROCKVILLE
State : MD
Zip : 20852-3417
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3300 GALLOWS RD
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22042-3307
Country : US
Telephone Number : 703-776-4001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2021
Last Update Date : 02/10/2026

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Directions to “ JENNA WHITE ” Practice Location

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