Individual
JESSICA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 VIRGINIA ST E STE 400, CHARLESTON, WV 25301-2835
(681) 313-4759
(844) 800-3954
Mailing address
PO BOX 145, ALUM CREEK, WV 25003-0145
(304) 389-8336
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
61986
WV
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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