Individual
DATHAN JOBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
800 20TH ST, HUNTINGTON, WV 25703-1850
(304) 696-8700
Mailing address
800 20TH ST, HUNTINGTON, WV 25703-1850
(304) 696-8700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
107007
WV
Other
Enumeration date
07/16/2020
Last updated
11/23/2021
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