Jacque Michelle Dolin
Individual provider Active NPI Personal Care Attendant · Poca, WV
NPI 1700464757 · NPPES record last updated Mar 31, 2021
Key facts
- NPI
- 1700464757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 9 Thornhill Ests
Poca, WV 25159-9407 - Phone
- (304) 410-2442
- NPI assigned
- Mar 31, 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | WV | Yes |
Addresses
Primary practice location
9 Thornhill Ests
Poca, WV 25159-9407
Mailing address
9 Thornhill Ests
Poca, WV 25159-9407
Phone (304) 410-2442
Other providers in Poca, WV
- Therisa Clark
- Susie Cobb
- Carrie Creasey
- Leeanna Cunningham
- Lacey Nicole Dingus
- Melonie Sue Dolin
- William M. Easter
- Jack Eastwood
- Valery Eastwood
- Chasity Nicole Foster
All providers in Poca, 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 Mar 31, 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.