Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackie R Stines Jr., MD

Individual provider Pediatrics Physician · NPI 1023222197

Jackie R Stines Jr., MD is a Pediatrics Physician in Huntington, West Virginia. Licensed in West Virginia. Registered with an NPI since 2007.

Licensed in
WV
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1600 Medical Center Dr Ste 3500
Huntington, WV 25701
Phone: (304) 691-1300
Fax: (304) 691-1375
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence 24389 (WV)
Pediatrics Physician Taxonomy 208000000X · Licence 24389 (WV)

Record details

NPI number1023222197
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 9, 2007
Last updated in NPPESDecember 9, 2021
Certification dateDecember 9, 2021

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