Miss Jacqueline Olivia Everly, APRN | |
901 Jefferson Ave, Glen Dale, WV 26038-1407 | |
(304) 843-3302 | |
Not Available |
Full Name | Miss Jacqueline Olivia Everly |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 901 Jefferson Ave, Glen Dale, West Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750977526 | NPI | - | NPPES |
F07200457 | Other | WV | AMERICAN ACADEMY OF NURSE PRACTITIONERS |
107051 | Other | WV | WV BOARD OF REGISTERED NURSES |
97909 | Other | WV | WV BOARD OF REGISTERED NURSES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F07200457 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
West Virginia University Hospitals | Morgantown, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Virginia University Medical Corporation | 1052224565 | 1621 |
Entity Name | West Virginia University Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
Mailing Address | Practice Location Address |
---|---|
Miss Jacqueline Olivia Everly, APRN 980 Fairchance Rd, Morgantown, WV 26508-2650 Ph: (304) 376-9965 | Miss Jacqueline Olivia Everly, APRN 901 Jefferson Ave, Glen Dale, WV 26038-1407 Ph: (304) 843-3302 |
Cristyn Rene Davis, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 426 8th St Ste 305, Glen Dale, WV 26038 Phone: 304-559-3491 | |
Corinna Emmerth, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1585 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-843-5381 | |
Aliya Zainab Okey, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 426 8th St Ste 102, Glen Dale, WV 26038 Phone: 304-845-8444 | |
Mrs. Melissa Ann Kenamond, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 426 8th St, Ste. 305, Glen Dale, WV 26038 Phone: 304-483-5041 Fax: 304-845-4586 | |
Sarah Sampson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 426 8th St Ste 305, Glen Dale, WV 26038 Phone: 304-843-5041 | |
Morgan Joann Rice, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-845-3211 | |
Brenda Dennis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 426 8th St Ste 102, Glen Dale, WV 26038 Phone: 304-845-8444 Fax: 304-845-8446 |