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NPI Code Detail

MEDICARE: MRS. JACQUELYN MARIE KESSEL MSN, APRN, FNP-C

MEDICARE:  MRS. JACQUELYN MARIE KESSEL  MSN, APRN, FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner110096WV

General Provider Information

NPI Number : 1497423776
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JACQUELYN MARIE KESSEL MSN, APRN, FNP-C
Provider Business Mailing Address
First Line : LOVE MEMORIAL CLINIC
Second Line : 112 KUYKERDALL LANE
City : MOOREFIELD
State : WV
Zip : 26836-1167
Country : US
Telephone Number : 305-530-7755
Fax Number : 304-530-7756
Provider Business Practice Location Address
First Line : LOVE MEMORIAL CLINIC
Second Line : 112 KUYKERDALL LANE
City : MOOREFIELD
State : WV
Zip : 26836-1167
Country : US
Telephone Number : 305-530-7755
Fax Number : 304-530-7756
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2021
Last Update Date : 12/14/2023

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Directions to “ MRS. JACQUELYN MARIE KESSEL MSN, APRN, FNP-C” Practice Location

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