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Individual
MS. JESSICA DANAE GAWTHROP
Active
Individual
MS. JESSICA DANAE GAWTHROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
82935
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0307067
—
OH
05
—
1295101186
—
WV
05
—
7100549470
—
KY
Enumeration date
07/18/2018
Last updated
04/13/2021
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