Jennifer Buzzard
Individual provider Active NPI Personal Care Attendant · Buckeye, WV
NPI 1104424902 · NPPES record last updated Oct 14, 2020
Key facts
- NPI
- 1104424902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 12736 Seneca TRL
Buckeye, WV 24924-9140 - Phone
- (304) 636-9326
- NPI assigned
- Oct 14, 2020
- 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
12736 Seneca TRL
Buckeye, WV 24924-9140
Mailing address
501 Wilson LN
Elkins, WV 26241-5216
Phone (304) 636-9326
Other providers in Buckeye, WV
- Ehab Awad
- John D. Borgens
- Kathleen Brown
- Kandi Hall Broyles
- Christian Butcher
- J Walter Copley III
- Mark Duff
- Pamela L Edens
- Kelby Lyn Faulkiner
- Rechelle R Hall
All providers in Buckeye, 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 Oct 14, 2020. 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.