Individual provider · Type 1 NPI
John Wayne Lilly Jr., APRN, FNP-BC
Family Nurse Practitioner · Beckley, WV
NPI number
1346510716
Active
Practice location
330 N. Eisenhower Dr.
Beckley, WV 25801-3140
Fax (304) 929-2278
Mailing address
330 N Eisenhower Dr
Beckley, WV 25801-4141
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 64742 (WV) |
Family Nurse Practitioner: Definition to come...
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About NPI 1346510716
John Wayne Lilly Jr., APRN, FNP-BC's National Provider Identifier is 1346510716, issued on Jan 3, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Beckley, WV. The record was last updated on Jun 13, 2014.