Individual
REBEKAH JORDAN LOUTHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
296 ELDER AVE, PRINCETON, WV 24739-8073
(304) 887-0663
Mailing address
296 ELDER AVE, PRINCETON, WV 24739-8073
(304) 887-0663
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
106350
WV
363LF0000X
Family Nurse Practitioner
Primary
0024195984
VA
Other
Enumeration date
01/15/2025
Last updated
01/13/2026
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