Broughton, Clydena Jean
Broughton, Clydena Jean is an individual health care provider with primary practice located at 300 Maccorkle Ave Se 5Th Floor , Charleston WV 25304. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Broughton, Clydena Jean can be contacted via phone (304) 388-1000.Contact Information
Primary practice address
300 Maccorkle Ave Se 5Th Floor
Charleston WV 25304
Phone: (304) 388-1000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024183957 | Virginia |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN62736-NP-C | West Virginia |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 62736 | West Virginia |
Profile Details
NPI number | 1588979314 |
---|---|
LBN Legal business name | Broughton, Clydena Jean |
Credentials | FNP - C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 17th, 2010 |
Last updated | Feb 20th, 2024 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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