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Organization
STONERISE SERVICES, LLC
Active
Organization
STONERISE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA HUDSON (CFO)
(304) 343-1950
Entity
Organization
Contact information
Practice address
7500 MACCORKLE AVE SE, CHARLESTON, WV 25304-2935
(304) 343-1950
(304) 343-1947
Mailing address
7500 MACCORKLE AVE SE, CHARLESTON, WV 25304-2935
(303) 343-1950
(304) 343-1947
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/23/2015
Last updated
01/12/2021
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