Individual
JADA LAUREN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1160 VAN VOORHIS RD, MORGANTOWN, WV 26505
(304) 598-1100
Mailing address
1370 JOHNSON AVE STE 102, BRIDGEPORT, WV 26330-1492
(681) 342-3463
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN78581NP
WV
Other
Enumeration date
12/27/2017
Last updated
04/08/2022
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