Individual
DR. JESSICA MARIE SHREVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
604 ANN STREET, PARKERSBURG, WV 26101
(304) 485-6130
(443) 777-2034
Mailing address
604 ANN STREET, PARKERSBURG, WV 26101
(304) 485-6130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25411
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2010
Last updated
08/29/2013
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