Jennifer D Basham, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

30708 Issued in WV

Practice address

200 12TH Street Ext
Princeton, WV 24740-2329

Phone

(304) 425-9541

Fax

(304) 487-3984

NPI assigned

Jun 12, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jennifer D Jeffrey Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1619802659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 THORNTON AVE",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402855",
            "telephone_number": "304-425-9541",
            "fax_number": "304-487-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 12TH STREET EXT",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402329",
            "telephone_number": "304-425-9541",
            "fax_number": "304-487-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHAM",
        "first_name": "JENNIFER",
        "middle_name": "D",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-12",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "30708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "JEFFREY",
            "middle_name": "D",
            "credential": "LPN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lindsey Barlow, PRSS
• Kerstyn Barrett
• Amy Barron
• Tammara Barton, MSW
• Tayna Barton
• Judy Basham
• Mindy Lynn Basham
• Heather Renee Beane
• Ronald Beatty
• Beautiful Minds Counseling Center

• Licensed Practical Nurse in Princeton, WV
• Providers in Princeton, WV by specialty
• Licensed Practical Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.