Healthcare Provider Details

I. General information

NPI: 1497690770
Provider Name (Legal Business Name): JOSHUA D. RALSTON FNP-CNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 MEDICAL PARK
WHEELING WV
26003-6391
US

IV. Provider business mailing address

120 PINE LN
BARNESVILLE OH
43713-1429
US

V. Phone/Fax

Practice location:
  • Phone: 304-243-3000
  • Fax:
Mailing address:
  • Phone: 740-238-1278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number107128
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: