Individual
JESSICA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-FNP-BC
Contact information
Practice address
111 GREAT TEAYS BLVD, SCOTT DEPOT, WV 25560
(304) 757-8459
(304) 757-6904
Mailing address
2585 3RD AVE, HUNTINGTON, WV 25703-1642
(304) 697-1396
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN83666-FNP-BC
WV
Other
Enumeration date
08/20/2016
Last updated
10/28/2019
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