Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Roger Mark Booth Jr., APRN-CNP

Individual provider Gerontology Nurse Practitioner · NPI 1275150047

Mr. Roger Mark Booth Jr., APRN-CNP is a Gerontology Nurse Practitioner in Huntington, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2020

Practice location Address checks out

1540 Spring Valley Dr
Huntington, WV 25704-9501
Phone: (304) 429-6741
Fax: (215) 842-4233
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 105246 (WV)

Record details

NPI number1275150047
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-CNP
Sole proprietorYes
NPI enumeratedJune 28, 2020
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025

Other providers in Huntington