MRS. Jacqueline Susann Brown Stickel, NURSE PRACTITIONER
NPI #1902370497 in Ranson, West Virginia
Provider Information
- NPI Number
- 1902370497
- Entity Type
- Individual
- Name
- MRS. Jacqueline Susann Brown Stickel, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Jan 17, 2019
- Last Updated
- Apr 21, 2022
Practice Location
- Address
- 205 E 5TH AVE
- City
- Ranson
- State
- West Virginia
- ZIP Code
- 25438-1613
- Phone
- (304) 728-1812
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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