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Jessica Ann Bryant

Technician, Personal Care Attendant in Madison, WV. Individual provider (NPI-1).

NPI number1619687779
StatusActive
Last updated in NPPESNov 30, 2022

Details

NPI
1619687779
Entity type
Individual (NPI-1)
Name
Jessica Ann Bryant
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 30, 2022
Certification date
Nov 30, 2022
Last updated
Nov 30, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

1 Avenue C Bldg Suite109
Madison, WV 25130-1100

Phone 304-369-6400 · Fax 304-369-0046

Mailing address

1 Avenue C Bldg Suite109
Madison, WV 25130-1100

Phone 304-369-6400 · Fax 304-369-0046

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