Individual
COURTNEY N PERSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2900 1ST AVE, HUNTINGTON, WV 25702-1241
(304) 399-7484
(304) 399-7579
Mailing address
5170 US ROUTE 60, HUNTINGTON, WV 25705-2004
(304) 528-4600
(304) 399-0015
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
61788
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2868900
—
OH
05
—
3810012805
—
WV
05
—
7100066050
—
KY
01
—
9815949
CIGNA
WV
01
—
P00728594
RR/MEDICARE
WV
Enumeration date
05/12/2008
Last updated
10/25/2021
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