Individual
JILL ELIZABETH SYPOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
510 WASHINGTON ST W, CHARLESTON, WV 25302-2036
(304) 344-9841
(304) 344-1756
Mailing address
510 WASHINGTON ST W, CHARLESTON, WV 25302-2036
(304) 344-9841
(304) 344-1756
Taxonomy
Speciality
Code
Description
License number
State
364SW0102X
Women's Health Clinical Nurse Specialist
Primary
47643
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006834000
—
WV
01
—
237186
UPIN
WV
Enumeration date
09/19/2007
Last updated
05/24/2022
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