Individual
JESSICA MAUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
MORGAN COUNTY BOARD OF EDUCATION, 247 HARRISON AVENUE, BERKELEY SPRINGS, WV 25411
(304) 267-3595
(304) 267-3599
Mailing address
MORGAN COUNTY BOARD OF EDUCATION, 247 HARRISON AVENUE, BERKELEY SPRINGS, WV 25411
(304) 267-3595
(304) 267-3599
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
99552
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99552
WV BOARD OF EXAMINERS CARD
WV
Enumeration date
09/20/2019
Last updated
09/20/2019
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