Individual
JENNIFER MICHELLE FITTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
327 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9006
(304) 203-3967
Mailing address
202 DAVISSON ST, BRIDGEPORT, WV 26330-1439
(304) 203-3967
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
115421
WV
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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