Individual
TAWNY CHANTEL ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-1000
Mailing address
201 HUFFS RUN, GRAYSON, KY 41143-7746
(606) 225-7357
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4034617
KY
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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