Provider Demographics
NPI:1174299879
Name:EPPERLY, REBEKAH WILSON (APRN)
Entity type:Individual
Prefix:MRS
First Name:REBEKAH
Middle Name:WILSON
Last Name:EPPERLY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:REBEKAH
Other - Middle Name:WILSON
Other - Last Name:HOH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:300 KENTON DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25311-1266
Mailing Address - Country:US
Mailing Address - Phone:304-346-5533
Mailing Address - Fax:304-346-5611
Practice Address - Street 1:300 KENTON DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25311-1266
Practice Address - Country:US
Practice Address - Phone:304-346-5533
Practice Address - Fax:304-346-5611
Is Sole Proprietor?:No
Enumeration Date:2021-08-22
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV10293363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily