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JEANETTA CHANTELL BULLOCK
NPI 1548979297
Technician - Personal Care Attendant in Omar, WV

Active since November 22, 2022
6396 JERRY WEST HWY, OMAR, WV 25638(304) 733-1094 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jeanetta Chantell Bullock NPPES

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

JEANETTA CHANTELL BULLOCK (NPI 1548979297) is an individual personal care attendant in Omar, West Virginia and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1548979297
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameJEANETTA CHANTELL BULLOCK
Location Address6396 JERRY WEST HWYOmar, WV 25638
Mailing Address6396 Jerry West HwyOmar, WV 25638
Phone(304) 733-1094
Sole ProprietorNo
Enumeration DateNovember 22, 2022
NPPES CertifiedNovember 15, 2022
✔ NPI 1548979297 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
6396 JERRY WEST HWY, Omar, WV 25638
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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 Jeanetta Bullock's NPI number?

The NPI number for Jeanetta Bullock is 1548979297. It was assigned to this individual provider in the NPPES registry on November 22, 2022.

Where is Jeanetta Bullock located?

Jeanetta Bullock practices at 6396 Jerry West Hwy, Omar, WV 25638. The listed phone number is (304) 733-1094.

What is Jeanetta Bullock'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 Jeanetta Bullock was last updated on November 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.