Sidney Jerome Cline, APRN
Nurse Practitioner, Family in Logan, WV. Individual provider (NPI-1).
NPI number1255748166
StatusActive
Last updated in NPPESJul 2, 2021
Details
- NPI
- 1255748166
- Entity type
- Individual (NPI-1)
- Name
- Sidney Jerome Cline
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2014
- Certification date
- Jul 2, 2021
- Last updated
- Jul 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN75819NP | WV | Yes |
Other names
- Jerome Cline (Other Name)
Practice location
122 Nick Savas DrLogan, WV 25601-3468
Phone 304-752-8081 · Fax 304-752-8083
Mailing address
7400 Lynn AveHamlin, WV 25523-1138
Phone 304-824-5806 · Fax 304-824-5804
Other practice locations
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