Healthcare Provider Details

I. General information

NPI: 1770136566
Provider Name (Legal Business Name): JESSICA ALANA-LEE LLOYD FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2019
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 RACETRACK ST
RANSON WV
25438
US

IV. Provider business mailing address

PO BOX 1146
MARTINSBURG WV
25402-1146
US

V. Phone/Fax

Practice location:
  • Phone: 304-263-4999
  • Fax:
Mailing address:
  • Phone: 304-263-4999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number114913
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number114913
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: