Individual
JESSE ISALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
601 MAPLE AVE, NEW MARTINSVILLE, WV 26155-1420
(304) 455-1990
Mailing address
601 MAPLE AVE, NEW MARTINSVILLE, WV 26155-1420
(304) 455-1990
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
83862
WV
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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