Individual
BILLIE JO OCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
87 SWIERKOS DR, MOUNDSVILLE, WV 26041-4209
(304) 843-2306
(304) 843-2308
Mailing address
87 SWIERKOS DR, MOUNDSVILLE, WV 26041-4209
(304) 843-2306
(304) 843-2308
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030447002
—
WV
05
—
2805017010
—
WV
05
—
3810004819
—
WV
05
—
3810022742
—
WV
05
—
3810022743
—
WV
Enumeration date
07/13/2020
Last updated
07/13/2020
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