Provider Demographics
NPI:1881092690
Name:OGLESBY, VIRGINIA KATHERINE (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:KATHERINE
Last Name:OGLESBY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:VIRGINIA
Other - Middle Name:KATHERINE
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 299
Mailing Address - Street 2:252 COURTHOUSE DRIVE
Mailing Address - City:WINFIELD
Mailing Address - State:WV
Mailing Address - Zip Code:25213-9370
Mailing Address - Country:US
Mailing Address - Phone:304-525-7851
Mailing Address - Fax:304-586-0671
Practice Address - Street 1:3375 US ROUTE 60 E
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25705-2837
Practice Address - Country:US
Practice Address - Phone:678-364-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-10
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN242902363LF0000X
WVAPRN73371FNP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0005355002Medicaid
WV0005355002Medicaid