Provider Demographics
NPI:1265473334
Name:ARMSTRONG, JANE W (CFNP)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:W
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:W
Other - Last Name:GEORGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CFNP
Mailing Address - Street 1:1540 SPRING VALLEY DRIVE
Mailing Address - Street 2:HUNTINGTON VAMC
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25704-9588
Mailing Address - Country:US
Mailing Address - Phone:304-429-6741
Mailing Address - Fax:304-429-7585
Practice Address - Street 1:1540 SPRING VALLEY DRIVE
Practice Address - Street 2:HUNTINGTON VAMC
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25704-9960
Practice Address - Country:US
Practice Address - Phone:304-429-6741
Practice Address - Fax:304-429-7585
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3003P363L00000X
WV26388363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV7102225000Medicaid
WVP01071462OtherRR MEDICARE
KY7100005860Medicaid
OH2582763Medicaid
WVP01071462OtherRR MEDICARE