Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. John Wayne White Jr., REGISTEREDNURSE

Individual provider Critical Care Medicine Registered Nurse · NPI 1346162120

Mr. John Wayne White Jr., REGISTEREDNURSE is a Critical Care Medicine Registered Nurse in Fayetteville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

302 Homewood Dr
Fayetteville, NY 13066-1220
Phone: (315) 219-7648
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine Registered Nurse (primary) Taxonomy 163WC0200X · Licence 753944 (NY)

Record details

NPI number1346162120
Entity typeIndividual (Type 1)
GenderMale
Credentials REGISTEREDNURSE
Sole proprietorYes
NPI enumeratedJuly 27, 2026
Last updated in NPPESJuly 27, 2026
Certification dateJuly 26, 2026