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
Phone: (304) 258-5790
Fax: (304) 258-3745
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841567856 | NPPES |
Maryland | MEDICAID | 482501200 |
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