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Contact Information

JESSICA A MACK, PA-C
40 MEDICAL PARK ROAD SUITE 508
WHEELING, WV26003-6861
 Phone: 304-243-8916
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JESSICA A MACK · (Female)

NPI # 1548817943
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/20/2019
Last updated 10/08/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • WV License # 2489
Hospital affiliation(s)
  • BARNESVILLE HOSPITAL ASSOCIATION INC - (Critical Access)
    639 WEST MAIN STREET
    BARNESVILLE, OH 43713
  • REYNOLDS MEMORIAL HOSPITAL - (Acute Care)
    800 WHEELING AVE
    GLEN DALE, WV 26038
  • WEST VIRGINIA UNIVERSITY HOSPITALS - (Acute Care)
    MEDICAL CENTER DRIVE
    MORGANTOWN, WV 26506
  • WHEELING HOSPITAL - (Acute Care)
    1 MEDICAL PARK
    WHEELING, WV 26003
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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