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JESSICA SHAE BROCK
NPI 1376157578
Technician - Personal Care Attendant in Moundsville, WV

Active since September 04, 2020
87 SWIERKOS DR, MOUNDSVILLE, WV 26041(304) 843-0910 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 21, 2020, Sep 4, 2020 (2 updates tracked since 2020).

About Jessica Shae Brock NPPES

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

JESSICA SHAE BROCK (NPI 1376157578) is an individual personal care attendant in Moundsville, West Virginia and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1376157578
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameJESSICA SHAE BROCK
Location Address87 SWIERKOS DRMoundsville, WV 26041-4209
Mailing Address143 Chapel RdWheeling, WV 26003-4871 · (304) 843-0910
Phone(304) 843-0910
Sole ProprietorNo
Enumeration DateSeptember 4, 2020
Last NPPES UpdateOctober 21, 20202 updates tracked since enumeration
NPPES CertifiedOctober 21, 2020
✔ NPI 1376157578 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 2

Medicaid1255523494WV
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 Brock's NPI number?

The NPI number for Jessica Brock is 1376157578. It was assigned to this individual provider in the NPPES registry on September 4, 2020.

Where is Jessica Brock located?

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

What is Jessica Brock'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 Brock was last updated on October 21, 2020. 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.