Individual
TAYLOR RENEE LONG-HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
489 WASHINGTON AVE, CLARKSBURG, WV 26301-2825
(304) 622-2708
Mailing address
283 PALISADES DR, MORGANTOWN, WV 26508-9009
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
101153
WV
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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