DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA WICKLINE, D.O.

Active Sole Proprietor

Family Medicine · BECKLEY, WV

Registration Details

NPI Number
1235418005
Provider Type
Individual
Gender
Female
NPI Issued
Aug 11, 2011 (14.704268305141 yrs)
Last Updated
Nov 19, 2018
Licenses
ED0221A (WV)
2634 (WV)
Sole Proprietor
Yes

Practice Information

Address
1709 HARPER RD
BECKLEY, WV, 258013311
Browse WV providers · Browse ZIP 25801
Phone
3042563027
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in BECKLEY, WV

Name Credential NPI
RHONDA M GUY DO 1457356545
MISS JENNIFER LYNN BROWN MD 1205823465
DR. MICHAEL SHAWN JOHNSON DO 1902895584
RICKEY LEE BRADLEY D.O. 1700877735
RICHARD C. WISMAN M.D. 1265475826
JACOB CAMERON MCNEEL D.O. 1003839663
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.