Everly, Jacqueline Olivia

Everly, Jacqueline Olivia is an individual health care provider with primary practice located at 901 Jefferson Ave , Glen Dale WV 26038-1407. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Everly, Jacqueline Olivia can be contacted via phone (304) 843-3302.

Contact Information

Primary practice address
901 Jefferson Ave Glen Dale WV 26038-1407
Phone: (304) 843-3302
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F07200457 West Virginia

Profile Details

NPI number 1750977526
LBN Legal business name Everly, Jacqueline Olivia
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2020
Last updated Apr 8th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750977526 NPPES
West Virginia Other F07200457 AMERICAN ACADEMY OF NURSE PRACTITIONERS
West Virginia Other 107051 AMERICAN ACADEMY OF NURSE PRACTITIONERS
West Virginia Other 97909 AMERICAN ACADEMY OF NURSE PRACTITIONERS

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