Individual
JOANNA B. STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4111 1ST AVE, SUITE 3, NITRO, WV 25143-1345
(304) 755-4797
(304) 755-4799
Mailing address
4111 1ST AVE, SUITE 3, NITRO, WV 25143-1345
(304) 755-4797
(304) 755-4799
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01117
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001712508
BLUE CROSS BLUE SHIELD
WV
01
—
613154606
BLACK LUNG/FECA
WV
05
—
95002945
—
KY
01
—
P00372242
RR MEDICARE
WV
Enumeration date
06/03/2006
Last updated
03/31/2026
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