Jarvis, Stephanie Nicole

Jarvis, Stephanie Nicole is an sole proprietor health care provider with primary practice located at 261 Berkmore Pl Ste 1A , Berkeley Springs WV 25411-6247. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jarvis, Stephanie Nicole can be contacted via phone (304) 258-5790.

Contact Information

Primary practice address
261 Berkmore Pl Ste 1A Berkeley Springs WV 25411-6247
Fax: (304) 258-3745
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AC000969 Maryland

Profile Details

NPI number 1841567856
LBN Legal business name Jarvis, Stephanie Nicole
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2011
Last updated Feb 25th, 2019 - about 5 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 1841567856 NPPES
Maryland MEDICAID 482501200

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