Most Relevant Information
Provider Data
| NPI Number: | 1003529975 |
| Provider Name: | JESSICA JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 81394 |
Most Important Dates
| Enumeration Date: | 01/05/2023 |
| Last Updated: | 01/05/2023 |
Provider Practice Location
314 GEORGE ST
BECKLEY
WV
258012653
Practice Location Phone/Fax
| Phone: | 3042528070 |
| Fax: |
Provider Mailing Location
314 GEORGE ST
BECKLEY
WV
258012653
Provider Mailing Phone/Fax
| Phone: | 3042528070 |
| Fax: |