Individual
MRS. STEPHANIE HOPE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
266 SKIDMORE LN, SUTTON, WV 26601-9271
(304) 765-0351
(304) 765-7019
Mailing address
266 SKIDMORE LN, SUTTON, WV 26601-9271
(304) 765-0351
(304) 765-7019
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN79343-FNP-BC
WV
Other
Enumeration date
11/08/2013
Last updated
08/24/2022
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