Wellformed AI

NPI 1396024014 · live from the CMS NPI Registry

Jessica Sue Aliff, D.O.

Family Medicine in Ronceverte, WV. National Provider Identifier 1396024014, active.

NPI record

NPI1396024014 Type 1 · individual
StatusActive
Primary specialtyFamily Medicine 207Q00000X
Practice location202 Maplewood Ave, Ronceverte, WV 24970
Practice phone304-647-6529
Mailing address255 Elmore Rd, Princeton, WV 24740
EnumeratedAugust 11, 2011
Last updatedAugust 11, 2011
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Family Medicine primary207Q00000XED0219A (WV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.