JORDAN GWINN

BRIDGEPORT, WV
NPI1346633443
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WV  77196)
Enumeration Date2015-03-13
Last Update Date2015-05-08
Business Address
-- JORDAN GWINN
327 MEDICAL PARK DR
BRIDGEPORT, WV 26330-9006
Phone number: 304-293-2436
Mailing Address
-- JORDAN GWINN
PO BOX 780
MORGANTOWN, WV 26507-0780
Phone number: 304-285-7101
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