Jason M Bird
Nurse Practitioner, Family in Huntington, WV. Individual provider (NPI-1).
NPI number1962065243
StatusActive
Last updated in NPPESApr 25, 2019
Details
- NPI
- 1962065243
- Entity type
- Individual (NPI-1)
- Name
- Jason M Bird
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2019
- Last updated
- Apr 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 102771 | WV | Yes |
Practice location
2828 1st Ave Ste 200Huntington, WV 25702-1236
Phone 304-399-7530 · Fax 304-399-7532
Mailing address
Po Box 4190Barboursville, WV 25504-4190
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