Individual
JENNA RICCIUTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4000
Mailing address
299 DUNN STATION RD, PROSPERITY, PA 15329-1627
(724) 833-5205
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
109652
WV
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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