Bland, Jaclyn Nicole

Bland, Jaclyn Nicole is an individual health care provider with primary practice located at 200 Route 98 W St 310, Nutter Fort WV 26301-4385. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bland, Jaclyn Nicole can be contacted via phone (302) 624-0980.

Contact Information

Primary practice address
200 Route 98 W St 310 Nutter Fort WV 26301-4385
Phone: (302) 624-0980
Fax: (304) 624-0095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 01038 West Virginia

Profile Details

NPI number 1831308527
LBN Legal business name Bland, Jaclyn Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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