Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 0024180393 | VA |
NPI | 1063018158 |
---|---|
Provider Name | Marcia Justice Mcgee-White |
First Address | Midlothian, VA 23112-3170 |
Second Address | Charlottesville, VA 22908-0816 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2020 |
Last Update Date | 05/12/2020 |