Individual provider · Type 1 NPI

Nicole L. Long

Licensed Practical Nurse · Gassaway, WV

NPI number 1366159964 Active

Practice location

64 State St
Gassaway, WV 26624-1132

Call (304) 364-1063 Map

Fax (304) 364-8637

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X39700 (WV)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1366159964

Nicole L. Long's National Provider Identifier is 1366159964, issued on Nov 2, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Gassaway, WV. The record was last updated on Nov 2, 2022.