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

Jacklyn Michelle Tull, PRSS

Individual provider Peer Specialist · NPI 1801692603

Jacklyn Michelle Tull, PRSS is a Peer Specialist in Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2025.

Licensed in
WV
In the registry since
2025

Practice location Address checks out

1303 Washington St W
Charleston, WV 25302-1333
Phone: (304) 202-1699
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (WV)

Record details

NPI number1801692603
Entity typeIndividual (Type 1)
GenderFemale
Credentials PRSS
Sole proprietorNo
NPI enumeratedFebruary 21, 2025
Last updated in NPPESFebruary 21, 2025
Certification dateFebruary 21, 2025

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