Individual
JENNIFER E. BROYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
253 DOLARON LN, SOUTH CHARLESTON, WV 25309-8109
(304) 720-8816
Mailing address
253 DOLARON LN, SOUTH CHARLESTON, WV 25309-8109
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
75505
WV
367500000X
Certified Registered Nurse Anesthetist
93283
WV
Other
Enumeration date
06/30/2014
Last updated
12/23/2021
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