Jodie Lynn Doerfer
Individual provider Active NPI Personal Care Attendant · Letart, WV
NPI 1972381929 · NPPES record last updated Sep 20, 2023
Key facts
- NPI
- 1972381929
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 4536 Tombleson Rd
Letart, WV 25253-9371 - Phone
- (304) 733-1094
- NPI assigned
- Sep 20, 2023
- 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
4536 Tombleson Rd
Letart, WV 25253-9371
Mailing address
4536 Tombleson Rd
Letart, WV 25253-9371
Other providers in Letart, WV
- Kimberly Boston
- Kristin Cochran
- Bobby Ann Edwards
- Brandy Fields
- Chelsea Nicole Hicks
- Paul Hoffman
- Virginia Hoffman
All providers in Letart, 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 Sep 20, 2023. 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.