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NPI Code Detail

MEDICARE: MRS. JENNA IRENE WARD PA-C

MEDICARE: MRS. JENNA IRENE WARD PA-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
1363A00000XPhysician Assistant01488WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841586492
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNA IRENE WARD PA-C
Provider Business Mailing Address
First Line : 78 QUEENS ALLEY RD
Second Line :
City : ROCK CAVE
State : WV
Zip : 26234-5890
Country : US
Telephone Number : 304-924-6262
Fax Number : 304-924-6699
Provider Business Practice Location Address
First Line : 78 QUEENS ALLEY RD
Second Line :
City : ROCK CAVE
State : WV
Zip : 26234-5890
Country : US
Telephone Number : 304-924-6262
Fax Number : 304-924-6699
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2011
Last Update Date : 08/31/2022

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Directions to “ MRS. JENNA IRENE WARD PA-C” Practice Location

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