Individual
PROF. JACQUELINE GORDON FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEDICAL PARK, WHEELING, WV 26003-6379
(304) 243-3343
(304) 243-6480
Mailing address
109 MOUNT WOOD RD, WHEELING, WV 26003-2632
(304) 233-2455
(304) 233-6073
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
36659
WV
367500000X
Certified Registered Nurse Anesthetist
SP004405B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066453000
—
WV
05
—
0943724
—
OH
05
—
101239273
—
PA
Enumeration date
02/09/2006
Last updated
02/20/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us