Individual
JEANNETTE R HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
478 BLAKE HOLLOW RD, MOUNT HOPE, WV 25880-6556
(304) 877-6592
Mailing address
478 BLAKE HOLLOW RD, MOUNT HOPE, WV 25880-6556
(304) 877-6592
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
60610
WV
Other
Enumeration date
03/19/2013
Last updated
12/01/2021
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