MEDICARE: JESSICA M BATTEN

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
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1932917663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA M BATTEN

Provider Business Mailing Address
First Line	:	PO BOX 369
Second Line	:
City	:	RIPLEY
State	:	WV
Zip	:	25271-0369
Country	:	US
Telephone Number	:	304-786-7418
Fax Number	:

Provider Business Practice Location Address
First Line	:	72 NEW HAVEN RD
Second Line	:
City	:	MOUNT ALTO
State	:	WV
Zip	:	25264-9524
Country	:	US
Telephone Number	:	304-531-7139
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2024
Last Update Date	:	12/27/2024

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Directions to “ JESSICA M BATTEN ” Practice Location

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