Mrs. Jaclyn Nicole Bland, PA-C
Mrs. Jaclyn Nicole Bland, PA-C is a Physician Assistant in Nutter Fort, West Virginia. Qualified in 2003, 23 years ago. Practices with Bridgeport Behavioral Clinic, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in West Virginia.
- Years since qualifying
- 23
- Licensed in
- WV
- In the registry since
- 2007
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
200 Route 98 W St 310Nutter Fort, WV 26301-4385
Phone: (302) 624-0980
Fax: (304) 624-0095
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 01038 (WV) |
|---|
Record details
| NPI number | 1831308527 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | May 21, 2007 |
| Last updated in NPPES | July 8, 2007 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2003 (23 years in practice) |
| Group practice | Bridgeport Behavioral Clinic — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 3 on file with Medicare |