Individual
ELEANOR GAIL JESSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1740 COONSKIN DR, CHARLESTON, WV 25311-1026
(304) 561-6324
(304) 561-6326
Mailing address
588 BAKERS RIDGE RD, MORGANTOWN, WV 26508-1517
(304) 550-2907
(304) 561-6326
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
36946
WV
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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