Cunningham, Jacquelyn Marie

Cunningham, Jacquelyn Marie is an individual health care provider with primary practice located at One Medical Center Dr. , Morgantown WV 26505. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Cunningham, Jacquelyn Marie can be contacted via phone (304) 293-8266.

Contact Information

Primary practice address
One Medical Center Dr. Morgantown WV 26505
Phone: (304) 293-8266
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1992106132
LBN Legal business name Cunningham, Jacquelyn Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2014
Last updated Apr 15th, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992106132 NPPES
West Virginia Other 1119183 NCCPA CERTIFICATION NUMBER

Popular Providers