Jeremy Canterbury
Community Health Worker in Hurricane, WV. Individual provider (NPI-1).
NPI number1881289445
StatusActive
Last updated in NPPESMar 5, 2021
Details
- NPI
- 1881289445
- Entity type
- Individual (NPI-1)
- Name
- Jeremy Canterbury
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 5, 2021
- Certification date
- Feb 16, 2021
- Last updated
- Mar 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
133 Upper Over Look DriveHurricane, WV 25526
Phone 304-206-0616
Mailing address
133 Upper Over Look DriveHurricane, WV 25526
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Community Health Worker providers in Hurricane, WV
- Jessica BlakeNPI 1689268310
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- Joyce DurhamNPI 1932889557
- Kalysha EllisNPI 1023881968
- Tessa GriffithNPI 1508459793
- Alex JacksonNPI 1932792983
- Sandra JonesNPI 1386223766
- Nancy LittonNPI 1508441122
- Kelly McCallisterNPI 1760075774
All 20 Community Health Worker providers in Hurricane · All 870 providers in Hurricane
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