Provider Demographics
NPI:1144479155
Name:FRIEL, JENNY R (RNBSN)
Entity type:Individual
Prefix:MRS
First Name:JENNY
Middle Name:R
Last Name:FRIEL
Suffix:
Gender:F
Credentials:RNBSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:926 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:MARLINTON
Mailing Address - State:WV
Mailing Address - Zip Code:24954-1209
Mailing Address - Country:US
Mailing Address - Phone:304-799-4505
Mailing Address - Fax:304-799-4499
Practice Address - Street 1:926 5TH AVE
Practice Address - Street 2:
Practice Address - City:MARLINTON
Practice Address - State:WV
Practice Address - Zip Code:24954-1209
Practice Address - Country:US
Practice Address - Phone:304-799-4505
Practice Address - Fax:304-799-4499
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-15
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV49022163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool