Individual
JEREMY LEE MOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
800 20TH ST, HUNTINGTON, WV 25703-1850
(304) 696-8700
(304) 696-8701
Mailing address
800 20TH ST, HUNTINGTON, WV 25703-1850
(304) 696-8700
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
107148
WV
Other
Enumeration date
08/24/2020
Last updated
11/23/2021
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