Jennifer Lea Davis

Individual provider Active NPI Personal Care Attendant · Philippi, WV

NPI 1225640667 · NPPES record last updated Jul 22, 2021

Key facts

NPI
1225640667
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
47 Hall St
Philippi, WV 26416-1292
Phone
(304) 636-9326
NPI assigned
Aug 18, 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)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

47 Hall St
Philippi, WV 26416-1292

Mailing address

501 Wilson LN
Elkins, WV 26241-5216
Phone (304) 636-9326

Other providers in Philippi, WV

All providers in Philippi, WV · Personal Care Attendant in West Virginia

Sources for this page

Verify at the official NPI Registry.