Individual
MRS. JODIE HOLSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
100 PIN OAK LN, KEYSER, WV 26726-5908
(304) 597-3500
Mailing address
209 WASHINGTON AVE, NITRO, WV 25143-2036
(304) 400-7243
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
103862
WV
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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