Individual
JESSILYN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 WASHINGTON ST STE B, RAVENSWOOD, WV 26164-1729
(304) 868-6000
Mailing address
PO BOX 390, HUNTINGTON, WV 25708-0390
(304) 429-1088
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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