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NPI Code Detail

MEDICARE: JESSICA MARIE RIGGLEMAN APRN

MEDICARE: JESSICA MARIE RIGGLEMAN APRN
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
1207Q00000XFamily Medicine PhysicianPENDINGWV
2363L00000XNurse Practitioner110238WV

General Provider Information

NPI Number : 1346811635
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA MARIE RIGGLEMAN APRN
Provider Business Mailing Address
First Line : 747 N MAIN ST STE C
Second Line :
City : MOOREFIELD
State : WV
Zip : 26836-1336
Country : US
Telephone Number : 304-538-8000
Fax Number : 304-538-8014
Provider Business Practice Location Address
First Line : 422 S MAIN ST
Second Line :
City : MOOREFIELD
State : WV
Zip : 26836-1238
Country : US
Telephone Number : 304-538-2331
Fax Number : 304-538-2533
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2021
Last Update Date : 02/11/2025

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