Jenny Lynn Haddix
Individual provider Active NPI Personal Care Attendant · Volga, WV
NPI 1265029318 · NPPES record last updated Sep 11, 2023
Key facts
- NPI
- 1265029318
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 526 Dark Horse Dr
Volga, WV 26238-7500 - Phone
- (304) 457-0058
- NPI assigned
- Dec 23, 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
526 Dark Horse Dr
Volga, WV 26238-7500
Mailing address
526 Dark Horse Dr
Volga, WV 26238-7500
Other names
- Jenny Lynn Jordan
Other providers in Volga, WV
- Rachael Claypool
- Crystal Cummins
- Nikeyan Davis
- Marlena Yasmine Dib
- Ashley Foltz
- Serenity Halterman
- Letitia Machelle Jackson
- Kirsten Medlock
- Erica Scheuvront
- Amy Walker
All providers in Volga, 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 Sep 11, 2023. 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.