Fitzwater, Jessica Ann

Fitzwater, Jessica Ann is an individual health care provider with primary practice located at 186 Hospital Dr , Grantsville WV 26147-7100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fitzwater, Jessica Ann can be contacted via phone (304) 354-9244.

Contact Information

Primary practice address
186 Hospital Dr Grantsville WV 26147-7100
Phone: (304) 354-9244
Fax: (304) 354-9323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 75755 West Virginia

Profile Details

NPI number 1093137226
LBN Legal business name Fitzwater, Jessica Ann
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2014
Last updated Feb 12th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093137226 NPPES
West Virginia Other 75755 LICENSE NUMBER

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