JOHNNA RALONN SHORT NP
NPI 1821665316
Nurse Practitioner - Pediatrics in Bridgeport, WV

Active since June 04, 2021
150 THOMPSON DR STE 101, BRIDGEPORT, WV 26330(304) 599-8003(304) 599-8003 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 27, 2026, Jun 4, 2021 (2 updates tracked since 2021).

About Johnna Ralonn Short Np NPPES

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

JOHNNA RALONN SHORT NP (NPI 1821665316) is an individual pediatrics provider in Bridgeport, West Virginia, licensed in West Virginia (108483) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1821665316
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJOHNNA RALONN SHORTCredential: NP
Location Address150 THOMPSON DR STE 101Bridgeport, WV 26330-1644
Mailing Address1247 Suncrest Town Centre DrMorgantown, WV 26505-1876 · (304) 599-8000 · Fax (304) 599-8003
Fax(304) 599-8003
Sole ProprietorYes
Enumeration DateJune 4, 2021
Last NPPES UpdateJanuary 27, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
NPI 1821665316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in WV · 108483
150 THOMPSON DR STE 101, Bridgeport, WV 26330

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Pediatrics
150 THOMPSON DR STE 101
BRIDGEPORT, WV 26330
Pediatrics
150 THOMPSON DR STE 101
BRIDGEPORT, WV 26330

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821665316, enumerated as an "individual" on June 04, 2021.

The provider is located at 150 THOMPSON DR STE 101 BRIDGEPORT, WV 26330 and the phone number is (304) 599-8003.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.