JENNIFER M WILES PAC
NPI 1700862661
Physician Assistant in Charleston, WV

Active since December 21, 2005
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 388-4170 Get Directions Write a Review

NPPES record last updated: September 20, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer M Wiles Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER M WILES PAC (NPI 1700862661) is an individual physician assistant in Charleston, West Virginia, licensed in West Virginia (01116) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1700862661
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNIFER M WILESCredential: PAC
Location Address3200 MACCORKLE AVE SECharleston, WV 25304-1227
Mailing Address4750 Hempstead Station DrKettering, OH 45429-5164 · (800) 875-0136
Sole ProprietorNo
Enumeration DateDecember 21, 2005
Last NPPES UpdateSeptember 20, 2011
NPI 1700862661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WV · 01116
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3200 MACCORKLE AVE SE, Charleston, WV 25304

Other Names 1

Former Name (1)Jennifer M Spencer Pac

Other Identifiers 6

Other001718079WV · Wv Bcbs
Medicare PIN24791WV
Medicare PIN24793WV
Medicare PIN24792WV
Medicare UPINQ41637WV
Other1069529WV · Wv Dwc

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Registered Nurse
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Nurse Practitioner (Family)
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARSTON, WV 25304
Family Medicine
3200 MACCORKLE AVE SE, FIFTH FLOOR
CHARLESTON, WV 25304
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE, DEPT. OF SURGERY
CHARLESTON, WV 25304
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Wiles's NPI number?

The NPI number for Jennifer Wiles is 1700862661. It was assigned to this individual provider in the NPPES registry on December 21, 2005. The provider is also known as Jennifer M Spencer Pac.

Where is Jennifer Wiles located?

Jennifer Wiles practices at 3200 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 388-4170.

What is Jennifer Wiles's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Wiles was last updated on September 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.