Individual
JODY RUTH GOARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 388-9677
Mailing address
PO BOX 7000, MORGANTOWN, WV 26507-7000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
62704
WV
363LF0000X
Family Nurse Practitioner
0024183184
VA
363LF0000X
Family Nurse Practitioner
Primary
62704
WV
Other
Enumeration date
09/16/2007
Last updated
06/13/2022
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