# STONERISE SERVICES, LLC

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

## Provider details

- **NPI number:** 1558743849
- **Authorized official:** JESSICA HUDSON (CFO)
- **Authorized official phone:** (304) 343-1950

## Contact information

- **Practice address:** 7500 MACCORKLE AVE SE, CHARLESTON, WV 25304-2935
- **Practice address phone:** (304) 343-1950
- **Practice address fax:** (304) 343-1947
- **Mailing address:** 7500 MACCORKLE AVE SE, CHARLESTON, WV 25304-2935
- **Mailing address phone:** (303) 343-1950
- **Mailing address fax:** (304) 343-1947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/23/2015
- **Last updated:** 01/12/2021