Individual
JENNIFER UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 MEMORIAL CHURCH DRIVE, MORGANTOWN, WV 26501
(304) 292-7316
(304) 599-8917
Mailing address
6000 MEMORIAL CHURCH DRIVE, MORGANTOWN, WV 26501
(304) 292-7316
(304) 599-8917
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
68234
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810016843
—
WV
Enumeration date
05/05/2015
Last updated
04/02/2019
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