JENNA M BAIN CRNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1548823628- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CRNP
- Status
- Active
Contact & Location
- Address
- 1320 MAPLEWOOD AVE, RONCEVERTE, WV, 249708016
- Phone
- (304) 647-6006
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: WV #105700
Nurse Practitioner, Family
License: KY #4019424