Individual
JENICA PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9991
(304) 263-0811
(304) 262-1417
Mailing address
510 BUTLER AVE, MARTINSBURG, WV 25405-9991
(304) 263-0811
(304) 262-1417
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
105091
WV
363LA2100X
Acute Care Nurse Practitioner
99857
WV
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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