Jordan Nicole Boling
Individual provider Active NPI Personal Care Attendant · Wayne, WV
NPI 1023729910 · NPPES record last updated Dec 12, 2022
Key facts
- NPI
- 1023729910
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 207 Mary Davis Branch Rd
Wayne, WV 25570-5906 - Phone
- (304) 733-1094
- NPI assigned
- Dec 12, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
207 Mary Davis Branch Rd
Wayne, WV 25570-5906
Mailing address
207 Mary Davis Branch Rd
Wayne, WV 25570-5906
Other providers in Wayne, WV
- Summer Bandle
- Jason Nicholas Belcher
- Claire Monica Belgrave
- Heather Ann Berry
- Summer Susanna Bias
- Acalynn Marcum Booth
- Kellie D Booton
- Dorthea Lynn Boulet
- Amanda Caines Brooks
- Sherry Lee Brooks
All providers in Wayne, WV · Personal Care Attendant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.