person
Johnna Ralonn Short, NP
Pediatric Nurse Practitioner in Bridgeport, West Virginia
NPI 1821665316

Johnna Ralonn Short is a Pediatric Nurse Practitioner based in Morgantown, WV and is specialized in Pediatrics. Johnna Ralonn Short practices in Bridgeport, WV and has the professional credentials of NP. The NPI Number for Johnna Ralonn Short is 1821665316 and holds a License No. 108483 (West Virginia).

The current practice location address for Johnna Ralonn Short is 139 Conference Center Way Ste 113, Bridgeport, WV and can be reached out via phone at 304-599-8003 and via fax at 304-599-8003.

Location: 139 Conference Center Way Ste 113, Bridgeport, WV, 26505-1876
person
Provider Profile Details
NPI Number
1821665316
Provider Name
Johnna Ralonn Short
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
139 Conference Center Way Ste 113, Bridgeport, WV, 26505-1876
Phone Number
304-599-8003
Fax Number
304-599-8003
Provider Enumeration Date
06/04/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
139 Conference Center Way Ste 113
City
State
Zip
26330-9147
Phone Number
304-599-8003
Fax Number
304-599-8003
person
Provider Business Mailing Address Details
Address
139 Conference Center Way Ste 113
City
State
Zip
26330-9147
Phone Number
304-599-8003
Fax Number
304-599-8003
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
108483 (West Virginia)
Definition
Definition to come...
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