Individual
LEIGH ANNE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
230 HOSPITAL PLZ, WESTON, WV 26452-8558
(304) 269-0030
Mailing address
25 GARTON PLZ, WESTON, WV 26452-2128
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
107588
WV
Other
Enumeration date
08/27/2021
Last updated
02/04/2022
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