| NPI | 1447763511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE MARION JONES Owner 304-479-2580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WV 83280) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2018-02-16 |