Provider Demographics
NPI:1710348354
Name:STAPLETON, JOHN C II (NP)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:C
Last Name:STAPLETON
Suffix:II
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 297
Mailing Address - Street 2:200 POCAHONTAS TRAIL
Mailing Address - City:WHITE SULPHUR SPRINGS
Mailing Address - State:WV
Mailing Address - Zip Code:24986-0297
Mailing Address - Country:US
Mailing Address - Phone:304-536-5030
Mailing Address - Fax:304-536-5031
Practice Address - Street 1:919 S CRAIG AVE STE A
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:VA
Practice Address - Zip Code:24426-1954
Practice Address - Country:US
Practice Address - Phone:540-960-2231
Practice Address - Fax:540-960-2245
Is Sole Proprietor?:No
Enumeration Date:2016-03-10
Last Update Date:2016-04-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0024173439363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner