Search › West Virginia › 171M00000X
Catherine Jackson
NPI 1740876077 · on the registry since 2020
Practice
- Address
- 418 New Goff Mountain Rd Ste 201
Cross Lanes, WV 25313 - Phone
- (304) 755-9411
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 171M00000X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-21
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