IndividualActive
Jaclyn Bland, P.A-C
NPI 1831308527 · Psychiatric/Mental Health Nurse Practitioner · Nutter Fort, WV
Provider details
- NPI number
- 1831308527
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A-C
- Sex
- Female
- Sole proprietor
- No
- License
- 01038 (WV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
200 Route 98 W St
310
Nutter Fort, WV 26301-4385
Phone: (302) 624-0980
Fax: (304) 624-0095
Approximate (ZIP-level) locationGet directions
Mailing address
200 Route 98 W St
Nutter Fort, WV 26301-4385
Registry dates
- Enumerated
- 2007-05-21
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.