Individual
JESSICA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
501 MORRIS ST, CHARLESTON AREA MEDICAL CENTER, CHARLESTON, WV 25301-1326
(304) 388-6004
Mailing address
EMERGENCY DEPARTMENT, 3200 MACCORKLE AVENUE SE, CHARLESTON, WV 25304
(304) 388-4172
(304) 388-4155
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1428
WV
Other
Enumeration date
08/06/2009
Last updated
01/20/2017
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