Sarah Elaine Jack, AS
Individual provider Active NPI Driver · Winfield, WV
NPI 1265383269 · NPPES record last updated Mar 4, 2026
Key facts
- NPI
- 1265383269
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 12086 Winfield Rd
Winfield, WV 25213-7902 - Phone
- (304) 936-1984
- NPI assigned
- Feb 5, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Associate of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
12086 Winfield Rd
Winfield, WV 25213-7902
Mailing address
12086 Winfield Rd
Winfield, WV 25213-7902
Phone (304) 936-1984
Other providers in Winfield, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2026. 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.