JENNIFER WHITE NPI 1083137368

NPI Information

  • NPI: 1083137368
  • Provider Name: JENNIFER WHITE
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 6688 TATUM ROAD
    DISPUTANTA, VA
    ZIP 23842
  • Phone: (804) 550-8674

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NPI Details

JENNIFER WHITE is a community based residential treatment facility, intellectual and/or developmental disabilities in Disputanta, VA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. JENNIFER WHITE NPI is 1083137368. The provider is registered as an organization entity type.

The provider's business location address is:

6688 TATUM ROAD
DISPUTANTA, VA
ZIP 23842-902
Phone: (804) 550-8674

The provider's authorized official is Jennifer Jayne White .
The authorized official title is Billing and has the following contact phone number (804) 550-8674.

The enumeration date for this NPI number is 7/19/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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