SearchWest VirginiaPrimary Care Nurse Practitioner

Angel Jackson

NPI 1407560402 · on the registry since 2023

Practice

Address
400 S Ruffner Rd Ste 11
Charleston, WV 25314
Phone
(304) 720-9595
Clinicians at this address
3

Registry record

Primary taxonomy
Primary Care Nurse Practitioner
363LP2300X
Also registered as
Registered Nurse
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-29

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