Individual
MRS. JILL SUZANNE MATNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C., FNP
Contact information
Practice address
ONE CLINIC DR, CLAYPOOL HILL, RICHLANDS, VA 24641-1100
(276) 964-6771
(276) 964-1354
Mailing address
PO BOX CVPI, RICHLANDS, VA 24641-1100
(276) 964-6771
(276) 964-1354
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024166504
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010260591
—
VA
05
—
3810004104
—
WV
Enumeration date
11/10/2005
Last updated
03/26/2010
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