Individual
JANET WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
627 4TH AVE, HUNTINGTON, WV 25701-1320
(304) 523-2764
(304) 523-3368
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 697-1396
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
34876
WV
Other
Enumeration date
06/07/2007
Last updated
05/18/2011
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