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NICOLE L LONG
NPI 1366159964
Licensed Practical Nurse in Gassaway, WV

Active since November 02, 2022
64 STATE ST, GASSAWAY, WV 26624(304) 364-1063(304) 364-8637 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole L Long NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE L LONG (NPI 1366159964) is an individual licensed practical nurse in Gassaway, West Virginia, licensed in West Virginia (39700) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1366159964
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameNICOLE L LONG
Location Address64 STATE STGassaway, WV 26624-1132
Mailing Address64 State StGassaway, WV 26624-1132 · (304) 364-1063 · Fax (304) 364-8637
Phone(304) 364-1063
Fax(304) 364-8637
Sole ProprietorYes
Enumeration DateNovember 2, 2022
NPPES CertifiedNovember 2, 2022
✔ NPI 1366159964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in WV · 39700
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
64 STATE ST, Gassaway, WV 26624
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TANYA HALL LPN
Home Health
64 STATE ST
GASSAWAY, WV 26624
Braxton County (304) 364-1063
CHANDLER REED POSEY
Registered Nurse
64 STATE ST
GASSAWAY, WV 26624
Braxton County (304) 364-1063
LISA S WARE
Registered Nurse (Home Health)
64 STATE ST
GASSAWAY, WV 26624
Braxton County (304) 364-1063
ABIGAIL KAREN DIVITA
Nurse's Aide
64 STATE ST
GASSAWAY, WV 26624
Braxton County (304) 364-1063
STACY FISHER
Licensed Practical Nurse
64 STATE ST
GASSAWAY, WV 26624
Braxton County (304) 364-1063
MACKENZIE RAE SERGEON LPN
Licensed Practical Nurse
64 STATE ST
GASSAWAY, WV 26624
Braxton County (304) 651-1063
AMY NICOLE FIELDS LPN
Licensed Practical Nurse
64 STATE ST
GASSAWAY, WV 26624
Braxton County (304) 364-1063
MISTY DAWN CONNNOR
Nurse's Aide
64 STATE ST
GASSAWAY, WV 26624
Braxton County (304) 364-1063

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Long's NPI number?

The NPI number for Nicole Long is 1366159964. It was assigned to this individual provider in the NPPES registry on November 2, 2022.

Where is Nicole Long located?

Nicole Long practices at 64 State St, Gassaway, WV 26624. The listed phone number is (304) 364-1063.

What is Nicole Long's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Nicole Long was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.