Jennifer Freeman
Individual provider Active NPI Community Health Worker · Eskdale, WV
NPI 1336733872 · NPPES record last updated Feb 25, 2021
Key facts
- NPI
- 1336733872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 14338 Cabin Creek Rd
Eskdale, WV 25075-9152 - Phone
- (304) 741-4714
- NPI assigned
- Feb 25, 2021
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
14338 Cabin Creek Rd
Eskdale, WV 25075-9152
Mailing address
14338 Cabin Creek Rd
Eskdale, WV 25075-9152
Phone (304) 741-4714
Other providers in Eskdale, WV
- Jordan Bostic
- Wanda Brown
- Kelsie Ann Foster
- Linda Rae Freeman
- Lisa Freeman
- Tonya Green
- Norma Parker
- Daisy Rose Reynolds
All providers in Eskdale, WV · Community Health Worker 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 Feb 25, 2021. 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.