Individual provider · Type 1 NPI

Jeraldine Yesudhas

Student in an Organized Health Care Education/Training Program · Charles Town, WV

NPI number 1215709456 Active

Practice location

201 N George St Ste 200
Charles Town, WV 25414-1574

Mailing address

148 Kiskadee Dr
Bunker Hill, WV 25413-8602

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1215709456

Jeraldine Yesudhas's National Provider Identifier is 1215709456, issued on Oct 23, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charles Town, WV. The record was last updated on Apr 13, 2026.