Individual
EUGENIA M JARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1288 B STREET, CEREDO, WV 25507-0327
(304) 453-3334
(304) 453-2608
Mailing address
1288 B STREET P.O. BOX 327, CEREDO, WV 25507-0327
(304) 453-3334
(304) 453-2608
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20727
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001713633
BLUE CROSS BLUE SHIELD
—
05
—
2005201000
—
WV
Enumeration date
11/07/2005
Last updated
08/30/2022
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