Jennifer Lynn Daniel
Individual provider Active NPI Personal Care Attendant · Kermit, WV
NPI 1467063404 · NPPES record last updated Jun 23, 2021
Key facts
- NPI
- 1467063404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 118 Main Street
Kermit, WV 25674-1282 - Phone
- (606) 534-3609
- NPI assigned
- Aug 13, 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
118 Main Street
Kermit, WV 25674-1282
Mailing address
118 Main Street
Kermit, WV 25674-1282
Phone (606) 534-3609
Other providers in Kermit, WV
- Broadway Clinic Pharmacy Inc
- Breanna Brooke Bryant
- Charles E. Sammons, DDS
- Rhonda Clovis
- Amanda Copley
- Cory Davis
- Drema Dale Davis
- Ashley Nicole Delong
- Mary Ann Deskins
- Christina Gail Dingess
All providers in Kermit, 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 Jun 23, 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.