Individual
JENNIFER M WELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1 TIMBERWOLF DRIVE, HUNTINGTON, WV 25704
(304) 429-1764
(304) 429-1746
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717
(304) 697-1396
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3488P
KY
363L00000X
Nurse Practitioner
NP-07422
OH
363LF0000X
Family Nurse Practitioner
Primary
50871
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2282524
—
OH
01
—
34876
LICENSE
WV
01
—
3488P
LICENSE
KS
05
—
7105076000
—
WV
05
—
78005741
—
KY
Enumeration date
10/05/2006
Last updated
06/03/2024
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