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

Mrs. Jacqueline Susann Brown Stickel, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1902370497

Mrs. Jacqueline Susann Brown Stickel, NURSEPRACTITIONER is a Nurse Practitioner in Ranson, West Virginia. Qualified in 2018, 8 years ago. Practices with West Virginia University Medical Corporation, a 1,981-clinician group and accepts Medicare assignment. Licensed in Virginia and West Virginia.

Years since qualifying
8
Licensed in
VA, WV
In the registry since
2019
Specialties on file
2

Practice location Address checks out

205 E 5th Ave
Ranson, WV 25438-1613
Phone: (304) 728-1812
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN97879NP (WV)
Nurse Practitioner Taxonomy 363L00000X · Licence 0024176995 (VA)

Record details

NPI number1902370497
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJanuary 17, 2019
Last updated in NPPESApril 21, 2022
Certification dateApril 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice West Virginia University Medical Corporation — 1981 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ranson