Individual provider · Type 1 NPI

Jaqualla Smith

Physician Assistant · Charleston, WV

NPI number 1902519978 Active

Practice location

4407 Maccorkle Ave SE Ste 2
Charleston, WV 25304-2541

Call (304) 925-0392 Map

Mailing address

632 Hal Greer Blvd Apt 3
Huntington, WV 25701-2975

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2910 (WV)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1902519978

Jaqualla Smith's National Provider Identifier is 1902519978, issued on Jan 4, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charleston, WV. The record was last updated on Jul 22, 2024.