Jessica Elaine Wooten (NPI# 1245510494, PAC ID# 8628244951) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1245510494 |
PAC ID by PECOS | 8628244951 |
Professional Enrollment ID | I20120106000803 |
Full Name | Jessica Elaine Wooten |
Organization Legal Name | WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC |
Address |
461 Schoolview St Elizabeth WV 21643 |
Phone Number | 3042753117 |
Gender | F |
Graduation Year | 2011 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 7810806577 |
Number of Group Practice Members | 19 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
511320 | JACKSON GENERAL HOSPITAL |
510058 | CAMDEN CLARK MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
461 Schoolview St, Elizabeth, WV 21643 | 3042753117 | WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC |
2610 Camden Ave, Parkersburg, WV 26101-5652 | 3049173733 | WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC |
3705 Emerson Ave, Parkersburg, WV 26104-1118 | 3049173733 | WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC |
562 Charleston Dr, Ripley, WV 25271-1533 | 3043727341 | WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC |
Organization Legal Name | WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC |
Physicians | 17 |
Name | Specialty | Organization | Address |
---|---|---|---|
Junetta A Maynard | Nurse Practitioner | Wirt County Health Services Association, Inc | 920 Elm St, Racine, OH 45771-8902 |
Heather J Kay | Nurse Practitioner | Wirt County Health Services Association, Inc | 2610 Camden Ave, Parkersburg, WV 26101-5652 |
Murrita Bolinger | Nurse Practitioner | Wirt County Health Services Association, Inc | 461 Schoolview St, Elizabeth, WV 21643 |
Timothy P Metzger | Family Medicine | Wirt County Health Services Association, Inc | 562 Charleston Dr, Ripley, WV 25271-1533 |
Kimberly A Jividen | Nurse Practitioner | Wirt County Health Services Association, Inc | 920 Elm St, Racine, OH 45771-8902 |
Cherrie Cowan | Nurse Practitioner | Wirt County Health Services Association, Inc | 2610 Camden Ave, Parkersburg, WV 26101-5652 |
Amanda R Lynch | Nurse Practitioner | Wirt County Health Services Association, Inc | 2610 Camden Ave, Parkersburg, WV 26101-5652 |
Miranda S Boso | Nurse Practitioner | Wirt County Health Services Association, Inc | 2610 Camden Ave, Parkersburg, WV 26101-5652 |
Sireesha Dasari | Family Medicine | Wirt County Health Services Association, Inc | 2610 Camden Ave, Parkersburg, WV 26101-5652 |
Bonnie Heather Templeton | Family Medicine | Wirt County Health Services Association, Inc | 461 Schoolview St, Elizabeth, WV 21643 |
Street Address |
461 SCHOOLVIEW ST |
City | ELIZABETH |
State | WV |
Zip | 21643 |
Name | Specialty | Organization | Address |
---|---|---|---|
Murrita Bolinger | Nurse Practitioner | Wirt County Health Services Association, Inc | 461 Schoolview St, Elizabeth, WV 21643 |
Bonnie Heather Templeton | Family Medicine | Wirt County Health Services Association, Inc | 461 Schoolview St, Elizabeth, WV 21643 |
Ruth A Full | Physician Assistant | Wirt County Health Services Association, Inc | 461 Schoolview St, Elizabeth, WV 21643 |
Stacey Nichole Mills | Nurse Practitioner | Wirt County Health Services Association, Inc | 461 Schoolview St, Elizabeth, WV 21643 |
Jennifer Lea Huffman | Nurse Practitioner | Wirt County Health Services Association, Inc | 461 Schoolview St, Elizabeth, WV 21643 |
City | ELIZABETH |
Zip Code | 21643 |
Specialty | NURSE PRACTITIONER |
City + Specialty | ELIZABETH + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.