Individual
JENIFER HADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3100 MACCORKLE AVE SE STE 700, CHARLESTON, WV 25304-1230
(304) 351-1500
(304) 351-1510
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1963
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001709560
MT. STATE
WV
01
—
00232938
RR MEDICARE
WV
05
—
3810000321
—
WV
Enumeration date
01/23/2006
Last updated
03/30/2026
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