JENICA PEARSON


Address: 510 Butler Ave, Martinsburg, WV 25405-9991
Phone: 3042630811

JENICA PEARSON (NPI# 1356981252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356981252
Entity Type Individual
Full Name JENICA PEARSON
Credential APRN
Practice Address 510 Butler Ave
Martinsburg
WV 25405-9991
Practice Telephone 3042630811
Practice Fax Number 3042621417
Mailing Telephone 3042630811
Mailing Fax Number 3042621417
Enumeration Date 2020-01-09
Last Update Date 2020-01-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
99857 WV Physician Assistants & Advanced Practice Nursing Providers
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
105091 WV Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 510 BUTLER AVE
City MARTINSBURG
State WV
Zip Code 25405-9991

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124022173 Richard Charles Avioli Orthopaedic Surgery 510 Butler Ave, Martinsburg, WV 25405-9990 2005-06-08
1659972701 Julie C Riggleman Nurse Practitioner 510 Butler Ave, Martinsburg, WV 25405-9990 2020-11-05
1003415258 Melissa Bangle Psychologist 510 Butler Ave, Martinsburg, WV 25405-9991 2020-10-20
1134738016 Jessica Christine Fernandez Pharmacist 510 Butler Ave, Martinsburg, WV 25405-9990 2020-07-28
1164046124 Brigit Kirwan Pharmacist 510 Butler Ave, Martinsburg, WV 25405-9990 2020-06-04
1467073437 Jared O Ogenche Respiratory Therapist, Registered 510 Butler Ave, Martinsburg, WV 25405-9990 2020-04-30
1205468295 Alicia Lopez Pharmacist 510 Butler Ave, Martinsburg, WV 25405-9991 2020-02-07
1184256505 Jeffrey Parish Pharmacist 510 Butler Ave, Martinsburg, WV 25405-9990 2020-02-05
1679119754 Stacy Nicole Green Social Worker 510 Butler Ave, Martinsburg, WV 25405-9990 2019-11-22
1205471745 Heidi Krantz Boyd Social Worker 510 Butler Ave, Martinsburg, WV 25405-9990 2019-11-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982004834 Stacy Becker Pharmacist 1297 Winchester Ave, Martinsburg, WV 25405 2014-08-28
1336577709 Zellene Struble Midwife 405 Sweetbriar Rd, Martinsburg, WV 25405 2013-10-23
1710329131 Aisha Masood Pharmacist 510 Butler Avenue (pharmacy Services 119), Martingsburg, WV 25405 2013-07-26
1649568924 Rocky Mountain Holdings, LLC Ambulance 214 Aviation Way, Martinsburg, WV 25405 2011-07-20
1962594846 Barbara Ellen Hartman Dietitian, Registered 510 Butler Avenue, Martinsburg, WV 25405 2006-09-29
1043313042 William Peter Perks Social Worker 540 Teal Rd N, Martinsburg, WV 25405 2006-09-06
1497399729 Michelle Stickel Speech-Language Pathologist Berkeley County Board of Education, 1453 Winchester Avenue, Martinsburg, WV 25405 2019-10-30
1225688054 Lynne Blackshear Registered Nurse Berkeley County Board of Education, 1435 Winchester Avenue, Martinsburg, WV 25405 2019-09-13
1285284018 Christina Byrnes Registered Nurse Berkeley County Board of Education, 1435 Winchester Ave, Martinsburg, WV 25405 2019-09-13
1730737339 Susan J Dilly Registered Nurse Berkeley County Board of Education, 1435 Winchester Ave, Martinsburg, WV 25405 2019-08-28
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366716375 Bridgette Lenore Flowers Nurse Practitioner 510 Butler Ave, Martinsburg, WV 25405-9991 2012-03-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619502564 Thomas Knight Nurse Practitioner 20 Aliff Ln, Saint Albans, WV 25177-3414 2020-03-10
1427437821 Wv Phs LLC Nurse Practitioner 400 Patterson Ln, Charleston, WV 25311-1570 2015-05-19
1245488410 Paul Edmond Cowsar Nurse Practitioner 300 8th St Ste 201b, Huntington, WV 25701-1413 2008-08-29
1003831017 Mark J Adkins Nurse Practitioner 3983 Teays Valley Rd Ste G1, Hurricane, WV 25526-8863 2006-07-12
1083235410 Rachael Carter Nurse Practitioner 1 Medical Center Dr, Morgantown, WV 26506-1200 2020-04-27
1053957696 Lynn Jarrett Nurse Practitioner 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 2019-11-19
1235771163 Ashley Vanscyoc Nurse Practitioner 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505-1168 2019-10-11
1629628565 Chad Wayne Ball Nurse Practitioner 800 Garfield Ave, Parkersburg, WV 26101-5340 2019-09-12
1184273294 Miranda Marie Murphy Nurse Practitioner 501 Morris St, Charleston, WV 25301-1326 2019-09-11
1073162772 Kali Crawford Nurse Practitioner 1340 Hal Greer Blvd, Huntington, WV 25701-3800 2019-09-05
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Competitor

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City MARTINSBURG
Zip Code 25405

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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