Lacey Jo Allen, RN
Individual provider Active NPI Home Health Registered Nurse · Parkersburg, WV
NPI 1417669656 · NPPES record last updated Dec 20, 2022
Key facts
- NPI
- 1417669656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 86059 (WV)
- Practice address
- 3 Western Hills Dr
Parkersburg, WV 26105-8122 - Phone
- (304) 494-9417
- NPI assigned
- Dec 20, 2022
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86059 | WV | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 86059 | WV | Yes |
Addresses
Primary practice location
3 Western Hills Dr
Parkersburg, WV 26105-8122
Mailing address
129 Tower Rd
Parkersburg, WV 26101-7730
Phone (304) 588-5448
Other practice location 1
417 Grand Park Dr Ste 203
Parkersburg, WV 26105-4049
Phone (304) 422-9293
Other providers in Parkersburg, WV
- Renee Alkire
- Angela Allen
- Billie J. Allen
- Brittany Allen
- Gayle Allen
- Noelle Allen
- Pamela Allen
- Stacy L Allen
- Terri Lynn Allen
- Rebecca E Allender
All providers in Parkersburg, WV · Home Health Registered Nurse 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 Dec 20, 2022. 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.