Individual
SHAWNA MARIE LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP (FNP)
Contact information
Practice address
107 KOONTZ AVE STE 200, CLENDENIN, WV 25045-9581
(304) 548-7272
(888) 987-8014
Mailing address
104 ALEX LN, CHARLESTON, WV 25304-2952
(304) 734-2040
(304) 734-2047
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
127018
WV
363LP2300X
Primary Care Nurse Practitioner
Primary
127018
WV
Other
Enumeration date
06/26/2026
Last updated
07/13/2026
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