MRS. KATHY LORINE JACKSON
NPI 1255940391
Technician - Personal Care Attendant in Wayne, WV

Active since July 24, 2020
2504 TOMS CREEK RD, WAYNE, WV 25570(304) 272-3528 Get Directions Write a Review

NPPES record last updated: July 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kathy Lorine Jackson NPPES

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

MRS. KATHY LORINE JACKSON (NPI 1255940391) is an individual personal care attendant in Wayne, West Virginia, licensed in West Virginia (I502513) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1255940391
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameMRS. KATHY LORINE JACKSON
Location Address2504 TOMS CREEK RDWayne, WV 25570-9458
Mailing Address2504 Toms Creek RdWayne, WV 25570-9458 · (304) 272-3528
Sole ProprietorNo
Enumeration DateJuly 24, 2020
NPPES CertifiedJuly 24, 2020
NPI 1255940391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
License Licensed in WV · I502513
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
2504 TOMS CREEK RD, Wayne, WV 25570

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 Kathy Jackson's NPI number?

The NPI number for Kathy Jackson is 1255940391. It was assigned to this individual provider in the NPPES registry on July 24, 2020.

Where is Kathy Jackson located?

Kathy Jackson practices at 2504 Toms Creek Rd, Wayne, WV 25570. The listed phone number is (304) 272-3528.

What is Kathy Jackson'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 Kathy Jackson was last updated on July 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.