Healthcare Provider Details

I. General information

NPI: 1952255242
Provider Name (Legal Business Name): JENNIFER MARIE HIGHLANDER PRSS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 INDUSTRIAL PARK RD
MAXWELTON WV
24957-8066
US

IV. Provider business mailing address

131 WELLNESS DR
SUMMERSVILLE WV
26651-5402
US

V. Phone/Fax

Practice location:
  • Phone: 888-736-3229
  • Fax: 304-872-5415
Mailing address:
  • Phone: 888-736-3229
  • Fax: 304-872-5415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number25-9161
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: