Individual
JENNIFER ANN TALKINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1255 PINEVIEW DR, MORGANTOWN, WV 26505-2738
(304) 598-3301
(304) 225-0927
Mailing address
571 PHEASANT RIDGE RD, BRIDGEPORT, WV 26330-7984
(304) 709-3506
(304) 225-0927
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
46020
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0069663000
—
WV
Enumeration date
07/04/2006
Last updated
11/10/2017
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