Individual
JENNIFER A BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
497 MALL RD, OAK HILL, WV 25901-6216
(304) 469-2905
Mailing address
497 MALL RD, OAK HILL, WV 25901-6216
(304) 469-2905
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00322
WV
363A00000X
Physician Assistant
187
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38100000502
—
WV
Enumeration date
08/30/2005
Last updated
10/09/2023
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