Individual
JENNIFER SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 N LEWIS ST, GLENVILLE, WV 26351-1319
(304) 462-5761
(304) 462-8239
Mailing address
720 N LEWIS ST, GLENVILLE, WV 26351-1319
(304) 462-5761
(304) 462-8239
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
51098
WV
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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