Jennifer Bragg

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

70587 Issued in WV

Practice address

172 Main Street
Clay, WV 25043-2504

Phone

(304) 587-4251

NPI assigned

Feb 19, 2021

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 19, 2021.

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1689267684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "CLAY",
            "state": "WV",
            "postal_code": "250430655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 MAIN STREET",
            "city": "CLAY",
            "state": "WV",
            "postal_code": "250432504",
            "telephone_number": "304-587-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGG",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "70587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Marie Bollinger
• Tracie F Bonner, FNP
• Bowen & Bowen, PLLC
• Gary M Bowen II, D.D.S.
• Stacy L Bowen, D.D.S
• Patricia L Bragg
• Kelli Nadine Brandenburg
• Dana Louise Brannon
• Angela B. Brown, FNP-C
• Cheyenne R Brown

• All providers in Clay, WV
• Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.