Individual
MR. JIMMY LEE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRSS
Contact information
Practice address
200 12TH STREET EXT, PRINCETON, WV 24740-2398
(304) 800-3683
Mailing address
200 12TH STREET EXT, PRINCETON, WV 24740-2398
(304) 800-3683
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
26-934
WV
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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