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Jennifer Derham
Home Health Registered Nurse in Keyser, West Virginia
NPI 1609593516

Jennifer Derham is a Home Health Registered Nurse based in Keyser, WV and is specialized in Home Health. Jennifer Derham practices in Keyser, WV. The NPI Number for Jennifer Derham is 1609593516 and holds a License No. R195758 (West Virginia).

The current practice location address for Jennifer Derham is 1952 New Creek Hwy, Keyser, WV and can be reached out via phone at 301-707-4394.

Location: 1952 New Creek Hwy, Keyser, WV, 26726-7494
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609593516
Provider Name
Jennifer Derham
Credential
Provider Entity Type
Individual
Gender
Female
Address
1952 New Creek Hwy, Keyser, WV, 26726-7494
Phone Number
301-707-4394
Fax Number
Provider Enumeration Date
10/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1952 New Creek Hwy
City
Keyser
State
West Virginia
Zip
26726-7494
Phone Number
301-707-4394
Fax Number
person
Provider Business Mailing Address Details
Address
1952 New Creek Hwy
City
Keyser
State
West Virginia
Zip
26726-7494
Phone Number
301-707-4394
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
163WH0200X
License No.
R195758 (Maryland)
Definition
Definition to come...
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