| Jessica Smith, RN | |
| 
					100 Angus E Peyton Dr, South Charleston, WV 25303-1600  | |
| (304) 746-2088 | |
| Not Available | 
| Full Name | Jessica Smith | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 100 Angus E Peyton Dr, South Charleston, West Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1184354367 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 119651 (West Virginia) | Primary | 
| Entity Name | Charleston Area Medical Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jessica Smith, RN 225 Sun Valley Dr, Saint Albans, WV 25177-3519 Ph: () -  | Jessica Smith, RN 100 Angus E Peyton Dr, South Charleston, WV 25303-1600 Ph: (304) 746-2088  | 
Lindsey Rubenstein,  Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600  | |
Bradley S. Persinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 Rockcrest Dr, South Charleston, WV 25309 Phone: 304-542-3927 Fax: 304-768-2468  | |
Tammy L Cunningham, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600  | |
Mary E. West, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600  | |
Marnie E. Edwards, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600  | |
Nicholas E. Clark,  Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600  |