Individual
JANIE TENNIS YOUSSEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
527 MEDICAL PARK DR STE 501, BRIDGEPORT, WV 26330-9010
(304) 842-3993
(304) 842-4083
Mailing address
418 CASSINA DR, MORGANTOWN, WV 26505-2492
(360) 466-8164
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
102742
WV
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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