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Individual

JEREMY R HUNT

Active
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Individual

JEREMY R HUNT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
92785
WV
363L00000X
Nurse Practitioner
Primary
R195446
MD
363LF0000X
Family Nurse Practitioner
RN535363
PA
363LF0000X
Family Nurse Practitioner
SP010011
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92785
CRNP-NURSE PRACTITIONER
WV
01
—
R195446
CRNP-NURSE PRACTITIONER
MD
01
—
RN535363
CRNP LICENSE NUMBER
PA
01
—
SP010011
NURSE PRACTIONER ID#
PA
Enumeration date
12/11/2008
Last updated
09/24/2019
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