Individual
HALEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
77 HOSPITAL DR STE 100, LOGAN, WV 25601-3451
(304) 896-5200
Mailing address
280 RIGHT FORK BENS CREEK ROAD, 280 RIGHT FORK BENS CREEK ROAD, WHARNCLIFFE, WV 25651
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
127017
WV
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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