Holly Deanna Cork, RN
Individual provider Active NPI Home Health Registered Nurse · Clarksburg, WV
NPI 1194434845 · NPPES record last updated Nov 22, 2022
Key facts
- NPI
- 1194434845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 75607 (WV)
- Practice address
- 2673 Davisson Run Rd
Clarksburg, WV 26301-6838 - Phone
- (304) 624-2424
- NPI assigned
- Nov 22, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75607 | WV | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 75607 | WV | Yes |
Addresses
Primary practice location
2673 Davisson Run Rd
Clarksburg, WV 26301-6838
Mailing address
2673 Davisson Run Rd
Clarksburg, WV 26301-6838
Phone (304) 624-2424
Other providers in Clarksburg, WV
- Lindsey Cooler
- Jessica Hope Cooper
- Corbin'S Clubhouse Autism & Special Needs Corporation
- Caitlin Elizabeth Corbitt
- Mikala Cordwell
- Cheryl B Cornwell
- Ashton Cottrill
- Patricia Lee-Ann Coulthart
- Thomas Counts
- Alexis Devon Cox
All providers in Clarksburg, WV · Home Health Registered Nurse in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.