Individual
JESSICA BARTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 S EISENHOWER DR, BECKLEY, WV 25801-5849
(304) 256-6500
Mailing address
PO BOX 1572, OCEANA, WV 24870-1572
(904) 673-4644
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
112996
WV
163WA2000X
Administrator Registered Nurse
112996
WV
164W00000X
Licensed Practical Nurse
27032
WV
363LF0000X
Family Nurse Practitioner
Primary
112996
WV
Other
Enumeration date
09/21/2022
Last updated
02/11/2026
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