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

JAQUALLA SMITH

Active

JAQUALLA SMITH is a Physician Assistant healthcare provider located in CHARLESTON, West Virginia. NPI 1902519978 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · CHARLESTON, WV

Registration Details

NPI Number
1902519978
Provider Type
Individual
Gender
Female
NPI Issued
Jan 4, 2023 (3.6297137437059 yrs)
Last Updated
Jul 22, 2024
License
2910 (WV)

Practice Information

Address
4407 MACCORKLE AVE SE STE 2
CHARLESTON, WV, 253042541
Browse WV providers · Browse ZIP 25304
Phone
3049250392
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in CHARLESTON, WV

Name Credential NPI
MRS. EMILY KATHRYN MONTGOMERY-DEEM P.A.-C 1720075369
PAULA BLOUNT PA 1700862091
JODY ASBURY PA 1295711687
BRYAN DENT PA 1285610675
MISS JANELDA RAE DUNCAN PA-C 1710963103
TRACI KALASKEY PA 1265418651
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.