Individual
DONTE JAMAL NEWSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1370 JOHNSON AVE STE 202, BRIDGEPORT, WV 26330-1378
(304) 842-3993
(304) 842-4083
Mailing address
1370 JOHNSON AVE STE 202, BRIDGEPORT, WV 26330-1378
(304) 842-3993
(304) 842-4083
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN80718-FNP-BC
WV
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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