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JENAE LACHELLE JACKSON
NPI 1710615539
Technician - Personal Care Attendant in Fairmont, WV

Active since August 10, 2022
924 VIRGINIA AVE, FAIRMONT, WV 26554(304) 996-3061 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jenae Lachelle Jackson NPPES

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

JENAE LACHELLE JACKSON (NPI 1710615539) is an individual personal care attendant in Fairmont, West Virginia and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1710615539
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameJENAE LACHELLE JACKSON
Location Address924 VIRGINIA AVEFairmont, WV 26554-3651
Mailing Address924 Virginia AveFairmont, WV 26554-3651 · (304) 996-3061
Phone(304) 996-3061
Sole ProprietorNo
Enumeration DateAugust 10, 2022
NPPES CertifiedAugust 10, 2022
✔ NPI 1710615539 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
924 VIRGINIA AVE, Fairmont, WV 26554
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Other Providers at the Same Location NPPES 2

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

KENTRELL KEYON ALLAN CLAY-JONES
Technician (Personal Care Attendant)
924 VIRGINIA AVE
FAIRMONT, WV 26554
Marion County (304) 694-4029
KIRYANNA JEAN CLAY-WILLIAMS
Technician (Personal Care Attendant)
924 VIRGINIA AVE
FAIRMONT, WV 26554
Marion County (681) 209-5420

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 Jenae Jackson's NPI number?

The NPI number for Jenae Jackson is 1710615539. It was assigned to this individual provider in the NPPES registry on August 10, 2022.

Where is Jenae Jackson located?

Jenae Jackson practices at 924 Virginia Ave, Fairmont, WV 26554. The listed phone number is (304) 996-3061.

What is Jenae 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 Jenae Jackson was last updated on August 10, 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.