# NEIGHBORHOOD FAMILY MEDICINE PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285813428
- **Authorized official:** MRS. JENNIFER JO ROBERTS (OFFICE MANAGER)
- **Authorized official phone:** (304) 637-8907

## Contact information

- **Practice address:** 630 ROBERT E LEE AVE, ELKINS, WV 26241-3211
- **Practice address phone:** (304) 637-8907
- **Practice address fax:** (304) 637-3592
- **Mailing address:** 630 ROBERT E LEE AVE, ELKINS, WV 26241-3211
- **Mailing address phone:** (304) 637-8907
- **Mailing address fax:** (304) 637-3592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | WV 1917 | WV | Yes |

## Other

- **Enumeration date:** 10/24/2007
- **Last updated:** 04/20/2008
