Wellman, Jennifer M

Wellman, Jennifer M is an individual health care provider with primary practice located at 1 Timberwolf Drive , Huntington WV 25704. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wellman, Jennifer M can be contacted via phone (304) 429-1764.

Contact Information

Primary practice address
1 Timberwolf Drive Huntington WV 25704
Phone: (304) 429-1764
Fax: (304) 429-1746
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP-07422 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3488P Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 50871 West Virginia

Profile Details

NPI number 1396831608
LBN Legal business name Wellman, Jennifer M
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jun 3rd, 2024 - about 6 months 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 1396831608 NPPES
West Virginia Other 34876 LICENSE
West Virginia MEDICAID 78005741 LICENSE
West Virginia MEDICAID 2282524 LICENSE
West Virginia Other 3488P LICENSE
West Virginia MEDICAID 7105076000 LICENSE

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