Individual
JESSICA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 ANGUS E PEYTON DR, SOUTH CHARLESTON, WV 25303-1600
(304) 746-2088
Mailing address
225 SUN VALLEY DR, SAINT ALBANS, WV 25177-3519
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
119651
WV
Other
Enumeration date
06/12/2022
Last updated
05/22/2024
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