Jacqueline Lee McElroy
Individual provider Active NPI Personal Care Attendant · Fairmont, WV
NPI 1356102016 · NPPES record last updated Jan 19, 2024
Key facts
- NPI
- 1356102016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 406 Spring St
Fairmont, WV 26554-3012 - Phone
- (304) 366-5111
- NPI assigned
- Jan 19, 2024
- 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
406 Spring St
Fairmont, WV 26554-3012
Mailing address
406 Spring St
Fairmont, WV 26554-3012
Phone (304) 366-5111
Other providers in Fairmont, WV
- Caitlin McDonald
- Heather Jo McDonnell-Stalnaker
- Elizabeth Anne McDougal
- James Allen McDougal
- Kristina Joann McDougal
- Renee Riffle McGinnis
- Jeannie Rose McGinty
- Sarah Elizabeth McGlone
- Cynthia McIlwain
- Merica McIntire
All providers in Fairmont, 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 Jan 19, 2024. 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.