Individual
JENNIFER R. DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
204 JEFFERSON AVENUE, GRANT COUNTY BOARD OF EDUCATION, PETERSBURG, WV 26847
(304) 267-3595
(304) 267-3599
Mailing address
204 JEFFERSON AVENUE, GRANT COUNTY BOARD OF EDUCATION, PETERSBURG, WV 26847
(304) 267-3595
(304) 267-3599
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
82630
WV
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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