Individual
JESSICA VALESKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
1151 WASHINGTON ST, NEWELL, WV 26050-1437
(304) 459-4010
Mailing address
3158 WEST ST, WEIRTON, WV 26062-4637
(304) 797-7733
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.17770-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0141559
—
OH
05
—
3810029921
—
WV
Enumeration date
08/17/2015
Last updated
01/27/2017
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