Individual
TERESA H POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN FNPC
Contact information
Practice address
400 N JEFFERSON ST, LEWISBURG, WV 24901
(304) 645-3220
(304) 645-4103
Mailing address
400 N JEFFERSON ST, LEWISBURG, WV 24901
(304) 645-3220
(304) 645-4103
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
35339
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7104006000
—
WV
Enumeration date
02/01/2006
Last updated
06/14/2024
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