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NPI Code Detail

MEDICARE: JILL NICOLE STRASSER MSN, APRN, FNP-BC

MEDICARE: JILL NICOLE STRASSER MSN, APRN, FNP-BC
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
1163W00000XRegistered Nurse64676WV
2363LF0000XFamily Nurse Practitioner113662WV
3363LP0808XPsychiatric/Mental Health Nurse Practitioner113662WV
4363L00000XNurse Practitioner113662WV

General Provider Information

NPI Number : 1083959803
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL NICOLE STRASSER MSN, APRN, FNP-BC
Provider Business Mailing Address
First Line : 1005 WHITE WILLOW WAY
Second Line :
City : MORGANTOWN
State : WV
Zip : 26505-6119
Country : US
Telephone Number : 304-460-5123
Fax Number : 800-734-8498
Provider Business Practice Location Address
First Line : 120 PROFESSIONAL PL STE 101
Second Line :
City : BRIDGEPORT
State : WV
Zip : 26330-4599
Country : US
Telephone Number : 304-460-5123
Fax Number : 800-734-8498
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2012
Last Update Date : 05/08/2025

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