Jessica Hupp
Community Health Worker in Millstone, WV. Individual provider (NPI-1).
NPI number1124613435
StatusActive
Last updated in NPPESMar 8, 2021
Details
- NPI
- 1124613435
- Entity type
- Individual (NPI-1)
- Name
- Jessica Hupp
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 8, 2021
- Certification date
- Feb 18, 2021
- Last updated
- Mar 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
1872 South Calhoun HwyMillstone, WV 25261
Phone 304-373-4375
Mailing address
1872 South Calhoun HwyMillstone, WV 25261
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