Individual
REGINA TERRY-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
97 ADMINISTRATIVE DR, MARTINSBURG, WV 25404-6378
(304) 350-3200
Mailing address
220 CAMPUS BLVD STE 320, WINCHESTER, VA 22601-2889
(540) 536-5100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
123133
WV
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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