JOHNNA RALONN SHORT NP NPI 1821665316

NPI Information

NPI: 1821665316
Provider Name: JOHNNA RALONN SHORT, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
139 CONFERENCE CENTER WAY STE 113
BRIDGEPORT, WV
ZIP 26330
Phone: (304) 599-8003
Get Directions

Johnna Ralonn Short, NP is a pediatrics nurse practitioner in Bridgeport, WV. Johnna Ralonn Short, NP NPI is 1821665316. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

139 CONFERENCE CENTER WAY STE 113
BRIDGEPORT, WV
ZIP 26330-147
Phone: (304) 599-8003
Fax: (304) 599-8003

The enumeration date for this NPI number is 6/4/2021 and was last updated on 6/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	108483	WEST VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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