person
Nicole L Long
Licensed Practical Nurse in Gassaway, West Virginia
NPI 1366159964

Nicole L Long is a Licensed Practical Nurse based in Gassaway, WV. Nicole L Long practices in Gassaway, WV. The NPI Number for Nicole L Long is 1366159964 and holds a License No. 39700 (West Virginia).

The current practice location address for Nicole L Long is 64 State St, Gassaway, WV and can be reached out via phone at 304-364-1063 and via fax at 304-364-8637.

Location: 64 State St, Gassaway, WV, 26624-1132
person
Provider Profile Details
NPI Number
1366159964
Provider Name
Nicole L Long
Credential
Provider Entity Type
Individual
Gender
Female
Address
64 State St, Gassaway, WV, 26624-1132
Phone Number
304-364-1063
Fax Number
304-364-8637
Provider Enumeration Date
11/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
64 State St
City
State
Zip
26624-1132
Phone Number
304-364-1063
Fax Number
304-364-8637
person
Provider Business Mailing Address Details
Address
64 State St
City
State
Zip
26624-1132
Phone Number
304-364-1063
Fax Number
304-364-8637
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
39700 (West Virginia)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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