Individual
JEREMY MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
3729 TEAYS VALLEY RD, HURRICANE, WV 25526-9705
(304) 760-6042
(304) 760-6042
Mailing address
2585 3RD AVE, HUNTINGTON, WV 25703-1642
(304) 781-5159
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
64727
WV
363LF0000X
Family Nurse Practitioner
Primary
APRN64727NP
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143784
—
OH
05
—
3810029833
—
WV
05
—
7100383130
—
KY
Enumeration date
05/12/2015
Last updated
04/05/2017
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