Jennifer Boggess

Individual provider Active NPI Home Health Aide · Nitro, WV

NPI 1972396604 · NPPES record last updated May 26, 2025

Key facts

NPI
1972396604
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
1404 14TH St
Nitro, WV 25143-1804
Phone
(304) 550-2588
NPI assigned
May 26, 2025
Sex
Unspecified or another gender identity
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)CodeLicenseStatePrimary
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

1404 14TH St
Nitro, WV 25143-1804

Mailing address

1404 14TH St
Nitro, WV 25143-1804

Other providers in Nitro, WV

All providers in Nitro, WV · Home Health Aide in West Virginia

Sources for this page

Verify at the official NPI Registry.