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Nichole Linda Jack
Personal Care Attendant in Bruceton Mills, West Virginia
NPI 1922699487

Nichole Linda Jack is a Personal Care Attendant based in Bruceton Mills, WV and is specialized in Personal Care Attendant. Nichole Linda Jack practices in Bruceton Mills, WV. The NPI Number for Nichole Linda Jack is 1922699487 and holds a License No. (West Virginia).

The current practice location address for Nichole Linda Jack is 47 Krys View Dr Apt 432, Bruceton Mills, WV and can be reached out via phone at 304-282-8293.

Location: 47 Krys View Dr Apt 432, Bruceton Mills, WV, 26525-9775
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922699487
Provider Name
Nichole Linda Jack
Credential
Provider Entity Type
Individual
Gender
Female
Address
47 Krys View Dr Apt 432, Bruceton Mills, WV, 26525-9775
Phone Number
304-282-8293
Fax Number
Provider Enumeration Date
01/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
47 Krys View Dr Apt 432
City
Bruceton Mills
State
West Virginia
Zip
26525-9775
Phone Number
304-282-8293
Fax Number
person
Provider Business Mailing Address Details
Address
47 Krys View Dr Apt 432
City
Bruceton Mills
State
West Virginia
Zip
26525-9775
Phone Number
304-282-8293
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
()
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
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