Individual
JENNIFER SHREVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
140 MIDDLETOWN LOOP, FAIRMONT, WV 26554-8701
(304) 333-1150
(304) 333-1169
Mailing address
1200 J D ANDERSON DR, MORGANTOWN, WV 26505-3494
(304) 598-1460
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17953
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0046512000
—
WV
Enumeration date
08/30/2006
Last updated
01/17/2024
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