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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE L LONG

Active Sole Proprietor

NICOLE L LONG is a Licensed Practical Nurse healthcare provider located in GASSAWAY, West Virginia. NPI 1366159964 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · GASSAWAY, WV

Registration Details

NPI Number
1366159964
Provider Type
Individual
Gender
Female
NPI Issued
Nov 2, 2022 (3.7492801549175 yrs)
Last Updated
Nov 2, 2022
License
39700 (WV)
Sole Proprietor
Yes

Practice Information

Address
64 STATE ST
GASSAWAY, WV, 266241132
Browse WV providers · Browse ZIP 26624
Phone
3043641063
Fax
3043648637
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in GASSAWAY, WV

Name Credential NPI
CINDY TOSTEN 1013657873
STACY FISHER 1114639747
MARY LYNN BUCKHANNON LICENCED PRACTICAL N 1467164996
KAYLA ANNE ROUSH LPN 1700598158
ANGELA GRACE BARNETTE LPN 1275245516
AMY NICOLE FIELDS LPN 1124892658
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.