Individual
JILLANN M BALKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4122
Mailing address
1370 JOHNSON AVE STE 102, BRIDGEPORT, WV 26330-1492
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
50514
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN50514
WV
Other
Enumeration date
10/23/2006
Last updated
04/30/2024
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