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JESSICA DAWN CLARK
NPI 1174190755
Technician - Personal Care Attendant in Moundsville, WV

Active since June 10, 2021
87 SWIERKOS DR, MOUNDSVILLE, WV 26041(304) 843-0910(304) 843-0912 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 26, 2022, Jun 23, 2021, Jun 10, 2021 (3 updates tracked since 2021).

About Jessica Dawn Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA DAWN CLARK (NPI 1174190755) is an individual personal care attendant in Moundsville, West Virginia and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1174190755
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameJESSICA DAWN CLARK
Location Address87 SWIERKOS DRMoundsville, WV 26041-4209
Mailing Address15 Elm AveMoundsville, WV 26041-1320 · (304) 843-0910 · Fax (304) 843-0912
Phone(304) 843-0910
Fax(304) 843-0912
Sole ProprietorNo
Enumeration DateJune 10, 2021
Last NPPES UpdateSeptember 26, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2022
✔ NPI 1174190755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Also ListedTechnician · Attendant Care ProviderTaxonomy 3747A0650X
87 SWIERKOS DR, Moundsville, WV 26041
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Other Identifiers 3

Medicaid1356607394WV
Medicaid125553494WV
Medicaid1821206228WV

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INDYA K CLEGG
Technician (Personal Care Attendant)
87 SWIERKOS DR
MOUNDSVILLE, WV 26041
Marshall County (304) 843-0910
SHAWNA LEE PELLEN
Technician (Personal Care Attendant)
87 SWIERKOS DR
MOUNDSVILLE, WV 26041
Marshall County (304) 843-0910
SHA MARIE YOHO
Technician (Personal Care Attendant)
87 SWIERKOS DR
MOUNDSVILLE, WV 26041
Marshall County (304) 843-2306
SHAUNDA MARIE REED
Technician (Personal Care Attendant)
87 SWIERKOS DR
MOUNDSVILLE, WV 26041
Marshall County (304) 843-0910
DEBRA A. DANTRASSY
Technician (Personal Care Attendant)
87 SWIERKOS DR
MOUNDSVILLE, WV 26041
Marshall County (304) 843-2306
LYNNIE JO MEADOWS
Technician (Personal Care Attendant)
87 SWIERKOS DR
MOUNDSVILLE, WV 26041
Marshall County (304) 843-0910
MELISSA DAWN CARNEY
Technician (Personal Care Attendant)
87 SWIERKOS DR
MOUNDSVILLE, WV 26041
Marshall County (304) 843-2306
SANDRA S DIETZ
Technician (Personal Care Attendant)
87 SWIERKOS DR
MOUNDSVILLE, WV 26041
Marshall County (304) 843-2306

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Clark's NPI number?

The NPI number for Jessica Clark is 1174190755. It was assigned to this individual provider in the NPPES registry on June 10, 2021.

Where is Jessica Clark located?

Jessica Clark practices at 87 Swierkos Dr, Moundsville, WV 26041. The listed phone number is (304) 843-0910.

What is Jessica Clark's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Jessica Clark was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.