Individual
MRS. RAELYN JADE CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1710 HARPER RD, BECKLEY, WV 25801-3397
(304) 256-4100
Mailing address
1710 HARPER RD, BECKLEY, WV 25801-3357
(304) 256-4100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110363
WV
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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