Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ROGER MARK BOOTH JR., APRN-CNP
Active Sole ProprietorMR. ROGER MARK BOOTH JR., APRN-CNP is a Gerontological Nurse Practitioner healthcare provider located in HUNTINGTON, West Virginia. NPI 1275150047 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · HUNTINGTON, WV
Registration Details
- NPI Number
- 1275150047
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2020 (6.0857790245889 yrs)
- Last Updated
- Nov 17, 2025
- License
-
105246 (WV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1540 SPRING VALLEY DRHUNTINGTON, WV, 257049501Browse WV providers · Browse ZIP 25704
- Phone
- 3044296741
- Fax
- 2158424233
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Other Gerontological Nurse Practitioner Providers in HUNTINGTON, WV
| Name | Credential | NPI |
|---|---|---|
| JEREMY LEE MOUNT | APRN | 1679186241 |
| JONATHAN EDWARD ARMSTEAD | APRN | 1285414870 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.