Individual
JANA M WHITED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1322 MAPLEWOOD AVE STE A, RONCEVERTE, WV 24970-8016
(304) 647-5114
(304) 647-3006
Mailing address
1322 MAPLEWOOD AVE STE A, RONCEVERTE, WV 24970-8016
(304) 647-1145
(304) 647-3006
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
68440
WV
Other
Enumeration date
03/25/2011
Last updated
11/07/2023
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