Jessica Lynn Carder
Nurse Practitioner Emergency Physician
327 Medical Park Dr
Bridgeport
, West Virginia 26330-9006
Jessica Lynn Carder
Nurse Practitioner Emergency Physician
327 Medical Park Dr
Bridgeport
, West Virginia 26330-9006
(304) 629-4639
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About
Features
Specialties
- Emergency Physician
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Jessica Lynn Carder
- 4684 W Veterans Memorial Hwy
- Bridgeport, WV
- Zip : 26330-7796
- Phone : (304) 629-4639
Second Address
- Jessica Lynn Carder
- 327 Medical Park Dr
- Bridgeport, WV
- Zip : 26330-9006
- Phone : (681) 342-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 105976 | WV |
| N | 363L00000X | Nurse Practitioner | 105976 | WV |
National Provider Identifier
| NPI | 1003437633 |
|---|---|
| Provider Name | Jessica Lynn Carder |
| First Address | Bridgeport, WV 26330-7796 |
| Second Address | Bridgeport, WV 26330-9006 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/05/2020 |
| Last Update Date | 05/05/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.