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NPI Code Detail

MEDICARE: MICKIE-JO DAY

MEDICARE: MICKIE-JO DAY
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
1164W00000XLicensed Practical Nurse42216WV

General Provider Information

NPI Number : 1396603247
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICKIE-JO DAY
Provider Business Mailing Address
First Line : 425 JULIANA ST
Second Line :
City : PARKERSBURG
State : WV
Zip : 26101-5352
Country : US
Telephone Number : 360-820-4665
Fax Number :
Provider Business Practice Location Address
First Line : 425 JULIANA ST
Second Line :
City : PARKERSBURG
State : WV
Zip : 26101-5352
Country : US
Telephone Number : 360-820-4665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “ MICKIE-JO DAY ” Practice Location

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