Individual
JOHNNIE ROSS NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
8326 SPRUCE RIVER ROAD, DANVILLE, WV 25053
(304) 369-4568
Mailing address
PO BOX 455, DANVILLE, WV 25053-0455
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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