Individual
STACI DIANE JOHNSON KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
20 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 831-1101
Mailing address
8 FRANCIS CT, BARBOURSVILLE, WV 25504-9699
(304) 417-4895
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
PENDING
WV
363LF0000X
Family Nurse Practitioner
Primary
APRN62781
WV
Other
Enumeration date
06/27/2018
Last updated
04/27/2022
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