1. Home
  2. Directory
  3. West Virginia
  4. Fairmont
  5. Driver
  6. NPI Profile

JENESIS SAMUELS
NPI 1396340741
Driver in Fairmont, WV

Active since December 03, 2020
200 BRADDOCK ST, FAIRMONT, WV 26554(304) 534-0538 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jenesis Samuels NPPES

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

JENESIS SAMUELS (NPI 1396340741) is an individual driver provider in Fairmont, West Virginia and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1396340741
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameJENESIS SAMUELS
Location Address200 BRADDOCK STFairmont, WV 26554-2208
Mailing Address200 Braddock StFairmont, WV 26554-2208 · (304) 534-0538
Phone(304) 534-0538
Sole ProprietorNo
Enumeration DateDecember 3, 2020
NPPES CertifiedDecember 3, 2020
✔ NPI 1396340741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
200 BRADDOCK ST, Fairmont, WV 26554
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

JUSTICE SAMUELS
Community Health Worker
200 BRADDOCK ST
FAIRMONT, WV 26554
Marion County (304) 502-2550

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 Jenesis Samuels's NPI number?

The NPI number for Jenesis Samuels is 1396340741. It was assigned to this individual provider in the NPPES registry on December 3, 2020.

Where is Jenesis Samuels located?

Jenesis Samuels practices at 200 Braddock St, Fairmont, WV 26554. The listed phone number is (304) 534-0538.

What is Jenesis Samuels's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Jenesis Samuels was last updated on December 3, 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.