Provider Demographics
NPI:1831355759
Name:WHITE, CLAUDIA JEAN (CFNP)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:JEAN
Last Name:WHITE
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1540 HEATHERSTONE DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-4849
Mailing Address - Country:US
Mailing Address - Phone:703-282-7053
Mailing Address - Fax:
Practice Address - Street 1:11720 MAIN ST
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-7367
Practice Address - Country:US
Practice Address - Phone:540-735-9350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024167914363LF0000X
FL9291806363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily