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NETTIE JACKSON
NPI 1528655834
Technician - Personal Care Attendant in Charleston, WV

Active since December 22, 2020
1710 PENNSYLVANIA AVE, CHARLESTON, WV 25302(304) 348-0707(304) 344-3546 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nettie Jackson NPPES

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

NETTIE JACKSON (NPI 1528655834) is an individual personal care attendant in Charleston, West Virginia and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1528655834
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameNETTIE JACKSON
Location Address1710 PENNSYLVANIA AVECharleston, WV 25302-3934
Mailing Address1710 Pennsylvania AveCharleston, WV 25302-3934 · (304) 348-0707 · Fax (304) 344-3546
Phone(304) 348-0707
Fax(304) 344-3546
Sole ProprietorNo
Enumeration DateDecember 22, 2020
NPPES CertifiedDecember 22, 2020
✔ NPI 1528655834 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
1710 PENNSYLVANIA AVE, Charleston, WV 25302
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Other Identifiers 2

Medicaid1982825972WV
Medicaid1255476511WV

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.

ELLA SLATER
Technician (Personal Care Attendant)
1710 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 348-0707
JOANNA PATTON
Technician (Personal Care Attendant)
1710 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 348-0707
ALYVIA MATLOCK
Technician (Personal Care Attendant)
1710 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 348-0707
SHARON HARRIS
Technician (Personal Care Attendant)
1710 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 348-0707
SHARON LANHAM
Technician (Personal Care Attendant)
1710 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 348-0707
MELINDA TAYLOR
Technician (Personal Care Attendant)
1710 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 348-0707
MARJAN NADIMI
Technician (Personal Care Attendant)
1710 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 348-0707
RHONDA QUEEN-EVANOSKY
Technician (Personal Care Attendant)
1710 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 348-0707

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 Nettie Jackson's NPI number?

The NPI number for Nettie Jackson is 1528655834. It was assigned to this individual provider in the NPPES registry on December 22, 2020.

Where is Nettie Jackson located?

Nettie Jackson practices at 1710 Pennsylvania Ave, Charleston, WV 25302. The listed phone number is (304) 348-0707.

What is Nettie 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 Nettie Jackson was last updated on December 22, 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.