Individual provider · Type 1 NPI
Jodian White
Family Nurse Practitioner · Tyrone, GA
NPI number
1104299981
Active
Practice location
1528 Joel Cowan Pkwy
Tyrone, GA 30290
Fax (833) 973-4637
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN198115 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104299981
Jodian White's National Provider Identifier is 1104299981, issued on Nov 3, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tyrone, GA. The record was last updated on Oct 31, 2025.