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JENNIFER D BASHAM LPN
NPI 1619802659
Licensed Practical Nurse in Princeton, WV

Active since June 12, 2026
200 12TH STREET EXT, PRINCETON, WV 24740(304) 425-9541(304) 487-3984 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer D Basham Lpn NPPES

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

JENNIFER D BASHAM LPN (NPI 1619802659) is an individual licensed practical nurse in Princeton, West Virginia, licensed in West Virginia (30708) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1619802659
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJENNIFER D BASHAMCredential: LPN
Location Address200 12TH STREET EXTPrinceton, WV 24740-2329
Mailing Address702 Thornton AvePrinceton, WV 24740-2855 · (304) 425-9541 · Fax (304) 487-3984
Phone(304) 425-9541
Fax(304) 487-3984
Sole ProprietorNo
Enumeration DateJune 12, 2026
NPPES CertifiedJune 12, 2026
✔ NPI 1619802659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in WV · 30708
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
200 12TH STREET EXT, Princeton, WV 24740
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Other Names 1

Other Name (5)Jennifer D Jeffrey Lpn

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.

TIFFANY MCGEE PR
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
DIANNA MICHELLE CANTRELL RBA, MS
Case Manager/Care Coordinator
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 436-2107
MICHAEL MEADOWS PR
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
CHRIS WILLIAMS PR
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
AMY ENGLAND
Community Health Worker
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
MICHELLE COOPER
Case Manager/Care Coordinator
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (276) 722-2662
MICHAEL HOLMES PR
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
JABEZ R ANDERSON BA, BSPI
Case Manager/Care Coordinator
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541

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 Jennifer Basham's NPI number?

The NPI number for Jennifer Basham is 1619802659. It was assigned to this individual provider in the NPPES registry on June 12, 2026. The provider is also known as Jennifer D Jeffrey Lpn.

Where is Jennifer Basham located?

Jennifer Basham practices at 200 12th Street Ext, Princeton, WV 24740. The listed phone number is (304) 425-9541.

What is Jennifer Basham's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Basham was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.