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JESSIE MARIE WILLIS
NPI 1336754712
Technician - Personal Care Attendant in Moundsville, WV

Active since September 11, 2020
87 SWIERKOS DR, MOUNDSVILLE, WV 26041(304) 843-2306 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 24, 2021, Oct 21, 2020, Sep 11, 2020 (3 updates tracked since 2020).

About Jessie Marie Willis NPPES

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

JESSIE MARIE WILLIS (NPI 1336754712) is an individual personal care attendant in Moundsville, West Virginia and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1336754712
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameJESSIE MARIE WILLIS
Location Address87 SWIERKOS DRMoundsville, WV 26041-4209
Mailing Address113 Pennsylvainia AveHundred, WV 26033
Phone(304) 843-2306
Sole ProprietorNo
Enumeration DateSeptember 11, 2020
Last NPPES UpdateJune 24, 20213 updates tracked since enumeration
NPPES CertifiedJune 24, 2021
✔ NPI 1336754712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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
87 SWIERKOS DR, Moundsville, WV 26041
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Other Identifiers 3

Medicaid1255523494WV
Medicaid1821206228WV
Medicaid1356607394WV

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 Jessie Willis's NPI number?

The NPI number for Jessie Willis is 1336754712. It was assigned to this individual provider in the NPPES registry on September 11, 2020.

Where is Jessie Willis located?

Jessie Willis practices at 87 Swierkos Dr, Moundsville, WV 26041. The listed phone number is (304) 843-2306.

What is Jessie Willis'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 Jessie Willis was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.