Nurse Practitioner, Family
JESSICA DAVIS
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1609512649 · enumerated 2022-05-11 · record updated 2023-05-01. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV, 25309-1311 (304) 766-3600 Google Maps Apple Maps OpenStreetMap
- Mailing address 4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV, 25309-1311 (304) 766-3600 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Family 363LF0000X · Primary · License 112743 WV
In this directory
WV Kanawha County South Charleston Nurse Practitioner, Family
Locations and evidence
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Practice location
SOUTH CHARLESTON, WV, 253091311
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.