Individual provider · Type 1 NPI

Jessica Ueda

Nurse Practitioner · Charleston, WV

NPI number 1679069090 Active

Practice location

310 35th St SE Ste 11
Charleston, WV 25304-1352

Call (304) 720-9595 Map

Mailing address

5017 Kanawha Ave SW
South Charleston, WV 25309-1209

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN81049-AGPCNP-BC (WV)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1679069090

Jessica Ueda's National Provider Identifier is 1679069090, issued on Jul 9, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charleston, WV. The record was last updated on Feb 19, 2019.