Doctor Name: | JESSICA PAULEY |
NPI Number: | 1033597422 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | |
Business Practice Address: | 3200 Maccorkle Ave Se Robert C. Byrd Clinical Training Center, 4th Floor Charleston, WV - 253041227 |
Business Phone Number: | 3043885590 |
Business Fax Number: | 3043888238 |
Mailing Address: | 3200 Maccorkle Ave Se, Robert C. Byrd Clinical Training Center, 4th Floor CHARLESTON |
State: | WV |
Postal Code: | 253041227 |
Phone Number: | 3043885590 |
Fax Number: | 3043888238 |
NPI Enumeration Date: | 05/18/2015 |
NPI Last Update Date: | 05/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |