Organization · Type 2 NPI
Jackson Healthcare Clinic LLC
Family Nurse Practitioner · Parkersburg, WV
NPI number
1639778731
Active
Practice location
2107 Pike St Ste 3
Parkersburg, WV 26101-6973
Fax (681) 229-0985
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Parkersburg
About NPI 1639778731
Jackson Healthcare Clinic LLC's National Provider Identifier is 1639778731, issued on Oct 20, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Parkersburg, WV. The record was last updated on Oct 21, 2020.