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Individual

JENNY LEE IRVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
12803 WINFIELD RD, WINFIELD, WV 25213-7452
(304) 757-6999
Mailing address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-6004
(304) 388-3660

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
102770
WV

Other

Enumeration date
04/26/2019
Last updated
10/11/2024
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