Provider Demographics
NPI:1174299879
Name:HOH, REBEKAH WILSON (FNP)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:WILSON
Last Name:HOH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 KENTON DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25311-1266
Mailing Address - Country:US
Mailing Address - Phone:304-346-5533
Mailing Address - Fax:304-346-5611
Practice Address - Street 1:300 KENTON DR STE 100
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25311-1266
Practice Address - Country:US
Practice Address - Phone:304-346-5533
Practice Address - Fax:304-346-5611
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-22
Last Update Date:2021-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV110293363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily