Individual
MRS. JENNA IRENE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
78 QUEENS ALLEY RD, ROCK CAVE, WV 26234-5890
(304) 924-6262
(304) 924-6699
Mailing address
78 QUEENS ALLEY RD, ROCK CAVE, WV 26234-5890
(304) 924-6262
(304) 924-6699
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01488
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841586492
—
WV
Enumeration date
06/22/2011
Last updated
08/31/2022
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