Individual
MRS. JENNIFER LYNN GORGOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, AGACNP-BC
Contact information
Practice address
61 CAMPUS DR STE 200, MARTINSBURG, WV 25404-7542
(304) 596-2150
Mailing address
61 CAMPUS DR STE 200, MARTINSBURG, WV 25404-7542
(304) 596-2150
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
115196
WV
363LA2100X
Acute Care Nurse Practitioner
4704273837
MI
Other
Enumeration date
04/30/2020
Last updated
03/17/2026
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