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NPI Code Detail

MEDICARE: MRS. TERRI JO RANSON APRN-CNP

MEDICARE: MRS. TERRI JO RANSON APRN-CNP
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
1363LF0000XFamily Nurse PractitionerAPRN30393WV

General Provider Information

NPI Number : 1902113194
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TERRI JO RANSON APRN-CNP
Provider Business Mailing Address
First Line : 3200 MACCORKLE AVE SE
Second Line :
City : CHARLESTON
State : WV
Zip : 25304-1227
Country : US
Telephone Number : 304-338-8978
Fax Number : 304-388-9743
Provider Business Practice Location Address
First Line : 1301 ELIZABETH PIKE
Second Line :
City : ELIZABETH
State : WV
Zip : 26143-0609
Country : US
Telephone Number : 304-275-3301
Fax Number : 304-275-4798
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2010
Last Update Date : 07/16/2019

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