Jonna Beth Buckner X
Individual provider Active NPI Personal Care Attendant · Madison, WV
NPI 1346851573 · NPPES record last updated Aug 12, 2020
Key facts
- NPI
- 1346851573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 1 Avenue C Ste 110
Madison, WV 25130-1100 - Phone
- (304) 369-6400
- NPI assigned
- Aug 12, 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
1 Avenue C Ste 110
Madison, WV 25130-1100
Mailing address
1 Avenue C Ste 102
Madison, WV 25130-1100
Other providers in Madison, WV
- Andrew D Bryant
- Candi B Bryant
- Jessica Ann Bryant
- Katelynn Bryant
- Joey Earl Buckner
- Martha Burdette
- Cody Burgess
- Jennifer Burgess
- Kristy Burns
- Vella Burns
All providers in Madison, 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 Aug 12, 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.