JENNIFER M WELLMAN ARNP NPI 1396831608

NPI Information

NPI: 1396831608
Provider Name: JENNIFER M WELLMAN, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1 TIMBERWOLF DRIVE
HUNTINGTON, WV
ZIP 25704
Phone: (304) 429-1764
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Jennifer M Wellman, ARNP is a family nurse practitioner in Huntington, WV. Jennifer M Wellman, ARNP NPI is 1396831608. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 TIMBERWOLF DRIVE
HUNTINGTON, WV
ZIP 25704
Phone: (304) 429-1764
Fax: (304) 429-1746

The NPI 1396831608 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		NP-07422	OHIO	No
2	363L00000X	Nurse Practitioner		3488P	KENTUCKY	No
3	363LF0000X	Nurse Practitioner	Family	50871	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	34876	OTHER	WEST VIRGINIA	LICENSE
2	78005741	MEDICAID	KENTUCKY
3	2282524	MEDICAID	OHIO
4	7105076000	MEDICAID	WEST VIRGINIA
5	3488P	OTHER	KANSAS	LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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