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Ms. Jennifer Divita, DO
Pediatrics Physician in Charleston, West Virginia
NPI 1063646529

Jennifer Divita is a Pediatrics Physician based in Charleston, WV. Jennifer Divita practices in Charleston, WV and has the professional credentials of DO. The NPI Number for Jennifer Divita is 1063646529 and holds a License No. (West Virginia).

The current practice location address for Jennifer Divita is 830 Pennsylvania Ave, Charleston, WV and can be reached out via phone at 304-388-2709 and via fax at 304-344-1755. You can also correspond with Jennifer Divita through the mailing address at 830 PENNSYLVANIA AVE, CHARLESTON, WV - 25302-3302 (mailing address contact number: 304-388-2709).

Location: 830 Pennsylvania Ave, Charleston, WV, 25302-3302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063646529
Provider Name
Jennifer Divita
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
830 Pennsylvania Ave, Charleston, WV, 25302-3302
Phone Number
304-388-2709
Fax Number
304-344-1755
Provider Enumeration Date
05/12/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3810023323 05 WV
institution
Provider Business Practice Location Address Details
Address
830 Pennsylvania Ave
City
Charleston
State
West Virginia
Zip
25302-3302
Phone Number
304-388-2709
Fax Number
304-344-1755
person
Provider Business Mailing Address Details
Address
830 Pennsylvania Ave
City
Charleston
State
West Virginia
Zip
25302-3302
Phone Number
304-388-2709
Fax Number
304-344-1755
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
2474 (West Virginia)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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