Individual
JILL LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22347 NORTHWESTERN PIKE, ROMNEY, WV 26757-6343
(304) 538-2331
(304) 822-7665
Mailing address
989 GRIZZLY RD, MAYSVILLE, WV 26833-8717
(304) 668-3329
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53897
WV
Other
Enumeration date
07/05/2018
Last updated
08/17/2020
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