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Jessica Davis
Family Nurse Practitioner in South Charleston, West Virginia
NPI 1609512649

Jessica Davis is a Family Nurse Practitioner based in South Charleston, WV and is specialized in Family. Jessica Davis practices in South Charleston, WV. The NPI Number for Jessica Davis is 1609512649 and holds a License No. 112743 (West Virginia).

The current practice location address for Jessica Davis is 4605 Maccorkle Ave Sw, South Charleston, WV and can be reached out via phone at 304-766-3600.

Location: 4605 Maccorkle Ave Sw, South Charleston, WV, 25309-1311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609512649
Provider Name
Jessica Davis
Credential
Provider Entity Type
Individual
Gender
Female
Address
4605 Maccorkle Ave Sw, South Charleston, WV, 25309-1311
Phone Number
304-766-3600
Fax Number
Provider Enumeration Date
05/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4605 Maccorkle Ave Sw
City
South Charleston
State
West Virginia
Zip
25309-1311
Phone Number
304-766-3600
Fax Number
person
Provider Business Mailing Address Details
Address
4605 Maccorkle Ave Sw
City
South Charleston
State
West Virginia
Zip
25309-1311
Phone Number
304-766-3600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
112743 (West Virginia)
Definition
Definition to come...
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