Individual
JESSICA FIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 ELIZABETH ST, CHARLESTON, WV 25311-2197
(304) 348-7740
Mailing address
200 ELIZABETH ST, CHARLESTON, WV 25311-2197
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
64292
WV
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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