Search › West Virginia › 207T00000X
Jessica Mack, PA-C
NPI 1548817943 · on the registry since 2019 · sole proprietor
Practice
- Address
- 40 Medical Park Road Suite 508
Wheeling, WV 26003 - Phone
- (304) 243-8916
Registry record
- Primary taxonomy
- 207T00000X
207T00000X
- Also registered as
- 390200000X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-08
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