Jolyne Davidson
Individual provider Active NPI Community Health Worker · Charleston, WV
NPI 1396401477 · NPPES record last updated Nov 12, 2021
Key facts
- NPI
- 1396401477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 200 Association Dr Ste 130
Charleston, WV 25311-1277 - Phone
- (304) 988-4200
- NPI assigned
- Nov 12, 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
200 Association Dr Ste 130
Charleston, WV 25311-1277
Mailing address
200 Association Dr Ste 130
Charleston, WV 25311-1277
Phone (304) 988-4200
Other providers in Charleston, WV
- Lacee Daugherty
- Darshankumar Ashwinbhai Dave
- Robert Maxwell Davee
- David J. Patton, MD., Inc.
- Amber Davidson
- Victoria Davidson
- Maureen Davies
- Alfonso Jose Davila Davila
- Sarah Joan Davis-Williamson
- Amanda Davis
All providers in Charleston, 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 Nov 12, 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.