SearchWest Virginia224Z00000X

Jacklyn Nuckols

NPI 1760172845 · on the registry since 2023

Practice

Address
96 Tyree St
Ansted, WV 25812
Phone
(304) 658-5271
Clinicians at this address
5

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-05-11

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