MEDICARE: JESSICA MILLER

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	171400000X	Health & Wellness Coach	1220792731	WV

General Provider Information

NPI Number	:	1003692039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA MILLER

Provider Business Mailing Address
First Line	:	15630 N PRESTON HWY
Second Line	:
City	:	BRUCETON MILLS
State	:	WV
Zip	:	26525-7036
Country	:	US
Telephone Number	:	304-379-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	15630 N PRESTON HWY
Second Line	:
City	:	BRUCETON MILLS
State	:	WV
Zip	:	26525-7036
Country	:	US
Telephone Number	:	304-379-7000
Fax Number	:

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

Provider Enumeration Date	:	09/06/2023
Last Update Date	:	09/07/2023

Similar Medicare Providers

1154376291 — DR. EMILY SAMANTHA MALLON D.C.
Practice Location Address:

15630 N PRESTON HWY
BRUCETON MILLS, WV
26525-7036

Practice Phone: 517-285-0417
Practice Fax:

1083394571 — CAMERON KYLE GALLAHER DC
Practice Location Address:

15630 N PRESTON HWY
BRUCETON MILLS, WV
26525-7036

Practice Phone: 304-379-7000
Practice Fax:

1407840358 — MS. DENISE CORRADO LCSW
Practice Location Address:

820 FORKY FARM RD
BRUCETON MILLS, WV
26525-6502

Practice Phone: 302-723-2855
Practice Fax:

1669430484 — BIO-MEDICAL APPLICATIONS OF WEST VIRGINIA, INC.
Practice Location Address:

856 CASTEEL RD
BRUCETON MILLS, WV
26525-5710

Practice Phone: 304-379-2770
Practice Fax: 304-379-2775

1891804902 — MS. PATRICIA DIANE CORBIN PA-C
Practice Location Address:

1640 SKYVIEW DRIVE , USP HAZELTON HEALTH SERVICES
BRUCETON MILLS, WV
26525

Practice Phone: 304-379-5000
Practice Fax:

1780787721 — BRUCETON MILL COMMUNITY AMBULANCE, INC.
Practice Location Address:

110 UNION STREET
BRUCETON MILLS, WV
26525-0084

Practice Phone: 304-288-3693
Practice Fax:

Directions to “ JESSICA MILLER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.