Jacqueline Mullins

Individual provider Active NPI Home Health Aide · Culloden, WV

NPI 1447128293 · NPPES record last updated Oct 24, 2025

Key facts

NPI
1447128293
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
3237 1/5 Sycamore Road
Culloden, WV 25510
Phone
(304) 617-2257
NPI assigned
Oct 24, 2025
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)CodeLicenseStatePrimary
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

3237 1/5 Sycamore Road
Culloden, WV 25510

Mailing address

PO Box 36
Culloden, WV 25510-0036

Other providers in Culloden, WV

All providers in Culloden, WV · Home Health Aide in West Virginia

Sources for this page

Verify at the official NPI Registry.