Jacqueline Mollett

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

101584 Issued in WV

Practice address

4605 Maccorkle Ave SW
Charleston, WV 25309-1311

Phone

(304) 766-3600

NPI assigned

Sep 9, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1225948714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 CRAWLEY CREEK RD",
            "city": "CHAPMANVILLE",
            "state": "WV",
            "postal_code": "255087020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 MACCORKLE AVE SW",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253091311",
            "telephone_number": "304-766-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLETT",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "WV",
            "license": "101584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Runa Moles
• Sarah Michelle Moles
• Stephanie Moles
• Danielle Marie Molina, PA-C
• Manuel E Molina, MD
• Autumn Mollohan
• Tammy S Mollohan
• Robin Moment
• Alexandra Renee Monday
• Daniel K Monday, DDS

• Critical Care Medicine Registered Nurse in Charleston, WV
• Providers in Charleston, WV by specialty
• Critical Care Medicine Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.