SearchWest Virginia374U00000X

Jacklynn Bosley

NPI 1760377535 · on the registry since 2025 · sole proprietor

Practice

Address
650 Wisteria Lane
Old Fields, WV 26845
Phone
(304) 703-2062

Registry record

Primary taxonomy
374U00000X
374U00000X
Sex
Male
Record last updated
2025-06-11

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