Individual provider · Type 1 NPI

Jennifer Rose Durham, APN

Family Nurse Practitioner · Camden On Gauley, WV

NPI number 1629403563 Active

Practice location

10003 Webster Rd
Camden On Gauley, WV 26208-7713

Fax (304) 226-3274

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X73253 (WV)

Family Nurse Practitioner: Definition to come...

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About NPI 1629403563

Jennifer Rose Durham, APN's National Provider Identifier is 1629403563, issued on Sep 11, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Camden On Gauley, WV. The record was last updated on Jan 11, 2023.