SearchWest Virginia175T00000X

Jessica Ennis, PRSS

NPI 1225981830 · on the registry since 2026 · sole proprietor

Practice

Address
420 Holliday Run Rd
Dawson, WV 24910
Phone
(304) 392-5464

Registry record

Primary taxonomy
175T00000X
175T00000X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-02-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia