Hall, Jessica Dawn
Hall, Jessica Dawn is an individual health care provider with primary practice located at 3997 Beckley Road , Princeton WV 24740. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hall, Jessica Dawn can be contacted via phone (304) 431-5499.Contact Information
Primary practice address
3997 Beckley Road
Princeton WV 24740
Phone: (304) 431-5499
Fax: (304) 431-3400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 63073 | West Virginia |
Profile Details
| NPI number | 1558556076 |
|---|---|
| LBN Legal business name | Hall, Jessica Dawn |
| Credentials | APRN, BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2007 |
| Last updated | Mar 31st, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558556076 | NPPES |
| West Virginia | MEDICAID | PENDING |
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