Individual
JESSICA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
314 GEORGE ST, BECKLEY, WV 25801-2653
(304) 252-8070
Mailing address
314 GEORGE ST, BECKLEY, WV 25801-2653
(304) 252-8070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
81394
WV
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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