Jessica Alderman
Individual provider Active NPI Registered Nurse · Beckley, WV
NPI 1104501659 · NPPES record last updated Jun 21, 2023
Key facts
- NPI
- 1104501659
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 24396397 (WV)
- Practice address
- 112 Mellon St
Beckley, WV 25801-3536 - Phone
- (304) 255-5263
- NPI assigned
- Jun 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24396397 | WV | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 24396397 | WV | Yes |
Addresses
Primary practice location
112 Mellon St
Beckley, WV 25801-3536
Mailing address
112 Mellon St
Beckley, WV 25801-3536
Phone (304) 255-5263
Other providers in Beckley, WV
- Emily Akers
- Nora Nicole Akers
- Shasta Marie Akers
- Jennifer Sue Albaugh
- Susan K Albright
- Sirena Alderman
- Brandy Alexander
- Gwendolyn Alexander
- Joshua Shane Alexander
- Katherine Marie Alexander
All providers in Beckley, WV · Registered Nurse in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.