JESSICA COSTELLO


Address: 1202 Suncrest Town Centre Dr, Morgantown, WV 26505-1828
Phone: 3045992004

JESSICA COSTELLO (NPI# 1598169500) 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) 1598169500
Entity Type Individual
Full Name JESSICA COSTELLO
Credential PNP
Practice Address 1202 Suncrest Town Centre Dr
Morgantown
WV 26505-1828
Practice Telephone 3045992004
Mailing Telephone 3045992004
Enumeration Date 2014-10-20
Last Update Date 2014-10-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
APRN76064-CPNP WV Physician Assistants & Advanced Practice Nursing Providers

Other Providers JESSICA COSTELLO

NPI Name Taxonomy Address Enumeration
1932761442 Jessica Lyn Costello Behavior Technician 21023 Amie Ave, Torrance, CA 90503-4747 2019-07-03
1134434244 Jessica Marie Costello Case Manager/Care Coordinator 2525 W Anklam Rd, #111, Tucson, AZ 85745-1874 2010-08-12
1750864989 Jessica Nicole Costello Pharmacist 81 Telegraph Rd, Middleport, NY 14105-9638 2018-09-13
1801325154 Jessica Costello Student in an Organized Health Care Education/Training Program 187 W Schrock Rd, Westerville, OH 43081-2890 2017-06-09
1922477116 Jessica Costello Physical Therapy Assistant 800 N Medcalf Ln, Montesano, WA 98563-1318 2015-09-17

Office Location

Street Address 1202 SUNCREST TOWN CENTRE DR
City MORGANTOWN
State WV
Zip Code 26505-1828

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669024709 Alyssa Fairbanks Nurse Practitioner 1202 Suncrest Town Centre Dr, Morgantown, WV 26505-1828 2019-07-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215535208 Robert Howard Taylor Pharmacist 1608 Earl Core Rd, Morgantown, WV 26505 2020-10-13
1194366757 Grace Catherine Clonch Student in an Organized Health Care Education/Training Program 3450 Monogahela Blvd, Morgantown, WV 26505 2019-10-04
1538629852 Alexander Gross Student in an Organized Health Care Education/Training Program : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 2019-03-22
1194284018 Ana Isabel Gomez Velazquez Student in an Organized Health Care Education/Training Program 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 2019-03-19
1922584242 Lisa Kate Hostutler Pharmacist 1851 Earl L. Core Rd, Morgantown, WV 26505 2018-07-19
1760983779 Ashley Garner Social Worker 3602 Collins Ferry Road, Morgantown, WV 26505 2018-02-24
1861992174 Usa Vein Clinics of West Virginia Pllc Surgery 1010 Suncrest Towne Centre, Morgantown, WV 26505 2018-02-14
1396272092 Essential Foundations, Pllc Community/Behavioral Health 1287 Suncrest Towne Centre, Morgantown, WV 26505 2017-05-12
1689111452 Good Heart Therapy Services, Pllc Public Health or Welfare 235 Hgh Street, Suite 311, Morgantown, WV 26505 2017-01-31
1982141776 Heidi Otoole Counselor 235 High Street, Suite 720, Morgantown, WV 26505 2017-01-31
Find all providers in zip 26505

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639275647 Lolita M. Carter Nurse Practitioner 49 Highcroft Dr, Morgantown, PA 19543-8847 2006-09-16
1821600743 Emily Rossignol Nurse Practitioner 1 Medical Center Dr, Morgantown, WV 26506-1200 2020-08-21
1508346289 Roshawna Iman Nurse Practitioner 9000 Coombs Farm Rd Ste 102, Morgantown, WV 26508-1150 2018-08-21
1518483205 Tera Lindquist Nurse Practitioner 1 Medical Center Dr, Morgantown, WV 26506-1200 2017-08-15
1487179388 Michaelyn Schrock Nurse Practitioner 9000 Coombs Farm Rd Ste 102, Morgantown, WV 26508-1150 2017-08-11
1942663323 Jessica Bulebush Nurse Practitioner 1 Medical Center Drive, Morgantown, WV 26506 2016-04-01
1073989752 Deanna Hinkle Nurse Practitioner 1247 Suncrest Town Centre Dr, Morgantown, WV 26505-1876 2015-08-17
1467849984 Crystal Dalton Nurse Practitioner 1 Medical Center Drive, Morgantown, WV 26506 2015-04-22
1710373691 Lya Cartwright-stroupe Nurse Practitioner 1 Medical Center Drive, Morgantown, WV 26506 2015-04-08
1275927048 Victoria Lancaster Nurse Practitioner 1 Medical Center Drive, Morgantown, WV 26506 2015-03-19
Find all providers in MORGANTOWN

Competitor

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City MORGANTOWN
Zip Code 26505

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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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