Individual
JESSICA ELAINE WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
606 WASHINGTON ST, RAVENSWOOD, WV 26164-1730
(304) 273-1033
(304) 273-1034
Mailing address
606 WASHINGTON ST, RAVENSWOOD, WV 26164-1730
(304) 273-1033
(304) 273-1034
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
73097
WV
Other
Enumeration date
08/19/2011
Last updated
09/06/2017
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