MEDICARE: CAMERON JEFFERY CURRY RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	123392	WV

General Provider Information

NPI Number	:	1568316388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMERON JEFFERY CURRY RN

Provider Business Mailing Address
First Line	:	1044 BRIDGE RD STE G
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25314-1342
Country	:	US
Telephone Number	:	304-953-0944
Fax Number	:

Provider Business Practice Location Address
First Line	:	1044 BRIDGE RD STE G
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25314-1342
Country	:	US
Telephone Number	:	304-953-0944
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2026
Last Update Date	:	02/26/2026

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