Individual
JESSICA LYNNE WORMINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
802 OAK ST, KENOVA, WV 25530-1519
(304) 908-1056
Mailing address
900 20TH ST, HUNTINGTON, WV 25703-1810
(681) 378-3908
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
22-9320
WV
Other
Enumeration date
02/06/2023
Last updated
09/10/2025
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