Search › West Virginia › 374U00000X
Marisa Jackson
NPI 1396632964 · on the registry since 2025 · sole proprietor
Practice
- Address
- 818 Skinner Dr
Saint Albans, WV 25177 - Phone
- (304) 412-2860
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Sex
- Male
- Record last updated
- 2025-06-18
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