SearchWest VirginiaPhysician Assistant

Jerry Quisenberry, PA-C

NPI 1639111768 · on the registry since 2006

Practice

Address
471 Main St
Madison, WV 25130
Phone
(304) 369-5170
Fax
(304) 369-0946
Organisation at this address
Lincoln County Primary Care Center Inc
Lincoln County Primary Care Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-02-12
Status
Not present in the most recent federal file

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