Individual
SIERRA LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
411 D ST, SOUTH CHARLESTON, WV 25303-3107
(855) 997-7900
Mailing address
101 CARDINAL LN, BECKLEY, WV 25801-2309
(304) 719-9793
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
116472
WV
Other
Enumeration date
02/02/2022
Last updated
09/18/2025
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