Individual
MS. JANE A WINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 PLAZA DR, SAINT CLAIRSVILLE, OH 43950-8736
(740) 699-2730
Mailing address
106 PLAZA DR, SAINT CLAIRSVILLE, OH 43950-8736
(740) 699-2730
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
22844
WV
363LF0000X
Family Nurse Practitioner
Primary
NP-10722
OH
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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