Individual
JENNIFER MICHELLE SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 CORPORATE CENTER DRIVE, SCOTT DEPOT, WV 25560-9026
(304) 691-6800
(304) 691-6751
Mailing address
1448 10TH AVENUE, SUITE 304, HUNTINGTON, WV 25701-3579
(304) 691-6381
(304) 691-8591
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
112052
WV
Other
Enumeration date
03/29/2022
Last updated
01/13/2025
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