Jeannette Jones
Individual provider Active NPI Community Health Worker · Gerrardstown, WV
NPI 1639763527 · NPPES record last updated Feb 22, 2021
Key facts
- NPI
- 1639763527
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 1017 Parkinson Rd
Gerrardstown, WV 25420-4149 - Phone
- (304) 676-3750
- NPI assigned
- Feb 22, 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
1017 Parkinson Rd
Gerrardstown, WV 25420-4149
Mailing address
1017 Parkinson Rd
Gerrardstown, WV 25420-4149
Other providers in Gerrardstown, WV
- Herve Carlos Feukou Gabeuka
- McKenna Elise Fuston
- Tyler Greenstreet
- Lisa Gregory
- Alex James Jenkins
- Crystal Lemaster
- Charity A Mathis
- Sheena Dawn Montague
- William Parsons
- Michael Riggs
All providers in Gerrardstown, 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 Feb 22, 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.