Provider Demographics
NPI:1730303744
Name:WHEELER, JUDY ANN (FNP-C)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:ANN
Last Name:WHEELER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 6TH ST
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-5113
Mailing Address - Country:US
Mailing Address - Phone:304-485-7374
Mailing Address - Fax:304-485-2116
Practice Address - Street 1:211 6TH ST
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-5113
Practice Address - Country:US
Practice Address - Phone:304-485-7374
Practice Address - Fax:304-485-2116
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV20329363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily