Individual
JENNIFER ANNE COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 BAKER PL, KEYSER, WV 26726-2824
(304) 788-4200
Mailing address
RR 5 BOX 154B, KEYSER, WV 26726-9001
(304) 788-7871
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
57407
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9705059000
—
WV
Enumeration date
02/08/2008
Last updated
02/08/2008
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