Mcdaniel, Jeremy

Mcdaniel, Jeremy is an individual health care provider with primary practice located at 3729 Teays Valley Rd , Hurricane WV 25526-9705. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Mcdaniel, Jeremy can be contacted via phone (304) 760-6042.

Contact Information

Primary practice address
3729 Teays Valley Rd Hurricane WV 25526-9705
Phone: (304) 760-6042
Fax: (304) 760-6042
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 64727 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN64727NP West Virginia

Profile Details

NPI number 1194103994
LBN Legal business name Mcdaniel, Jeremy
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2015
Last updated Apr 5th, 2017 - about 8 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 1194103994 NPPES
Kentucky MEDICAID 7100383130
Kentucky MEDICAID 0143784
Kentucky MEDICAID 3810029833

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