Jessica Bloom Buckley

NPI 1396828992 - Registered Nurse - 163W00000X

NPI Details
NPI 1396828992
Gender Female
Enumeration Date 10/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3200 MACCORKLE AVE SE
CHARLESTON WV, 25304, US
Phone (304) 388-4077
Fax (304) 388-9852
Business Location
3 DAWN PLACE
CHARLESTON WV, 25314, US
Phone (304) 344-0949
Fax
Toxanomy
Taxonomy Code 163W00000X
License State West Virginia
License Number 61450
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According to our database, Mrs. Jessica Bloom Buckley NPI is 1396828992, taxonomy code is 163W00000X and license number is 61450, license state is located at West Virginia. Jessica Bloom Buckley physically located at 3200 Maccorkle Ave Se, Charleston WV, 25304. NPI Number Jessica Bloom Buckley has the Individual type.

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1396828992 NPI number is provided on an as is basis without warranty of any kind. 1396828992 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Bloom Buckley are for informational purposes only.