Individual
JODI L. LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1601 GRAND CENTRAL AVE STE 5, VIENNA, WV 26105-1082
(304) 422-5600
(304) 422-5993
Mailing address
1601 GRAND CENTRAL AVE STE 5, VIENNA, WV 26105-1082
(304) 422-5600
(304) 422-5993
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
63591
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366445843
—
WV
Enumeration date
05/27/2005
Last updated
09/20/2024
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