NPI 1629936539
Jessica Nichols, PRSS
Practice location
- Address
- 503 4th Ave, Montgomery, WV 25136-2106
- Phone
- (304) 981-2361
- Mailing address
- 516 Hall St APT 4, Charleston, WV 25302-1949
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1629936539
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Jan 2026
- Record last updated
- 12 Jan 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.