Individual
JAN AUGUSTA NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC (APRN)
Contact information
Practice address
3094 CHARLESTOWN ROAD, KEARNEYSVILLE, WV 25430
(304) 901-2070
Mailing address
1408 NORTH ST, MARTINSBURG, WV 25401-2067
(443) 333-3996
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
104701
WV
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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