JEREMY MCDANIEL FNP-BC NPI 1194103994

NPI Information

NPI: 1194103994
Provider Name: JEREMY MCDANIEL, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3729 TEAYS VALLEY RD
HURRICANE, WV
ZIP 25526
Phone: (304) 760-6042
Get Directions

Jeremy Mcdaniel, FNP-BC is a family nurse practitioner in Hurricane, WV. Jeremy Mcdaniel, FNP-BC NPI is 1194103994. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3729 TEAYS VALLEY RD
HURRICANE, WV
ZIP 25526-705
Phone: (304) 760-6042
Fax: (304) 760-6042

The NPI 1194103994 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/12/2015 and was last updated on 4/5/2017.

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	163WC1500X	Registered Nurse	Community Health	64727	WEST VIRGINIA	No
2	363LF0000X	Nurse Practitioner	Family	APRN64727NP	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	WV5938	MEDICARE PIN	WEST VIRGINIA
2	0143784	MEDICAID	OHIO
3	3810029833	MEDICAID	WEST VIRGINIA
4	7100383130	MEDICAID	KENTUCKY

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: 5/5/2024

NPI Synchronization or Removal

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