Golden, Letitia Jean

Golden, Letitia Jean is an individual health care provider with primary practice located at 706 Oakmound Rd , Clarksburg WV 26301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Golden, Letitia Jean can be contacted via phone (304) 622-7511.

Contact Information

Primary practice address
706 Oakmound Rd Clarksburg WV 26301
Phone: (304) 622-7511
Fax: (304) 924-5460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 77023 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN77023 West Virginia

Profile Details

NPI number 1831531904
LBN Legal business name Golden, Letitia Jean
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2013
Last updated Oct 12th, 2023 - about 2 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831531904 NPPES
West Virginia Other 77023 FNP LICENSE
West Virginia MEDICAID 3810026224 FNP LICENSE

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