1. Home
  2. Directory
  3. West Virginia
  4. Moundsville
  5. Case Manager Care Coordinator
  6. NPI Profile

PATRICIA JACK RN
NPI 1801404306
Case Manager/Care Coordinator in Moundsville, WV

Active since July 21, 2020
87 SWIERKOS DR, MOUNDSVILLE, WV 26041(304) 843-2306(304) 843-2308 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Patricia Jack Rn NPPES

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

PATRICIA JACK RN (NPI 1801404306) is an individual case manager/care coordinator provider in Moundsville, West Virginia and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1801404306
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NamePATRICIA JACKCredential: RN
Location Address87 SWIERKOS DRMoundsville, WV 26041-4209
Mailing Address4400 Eoff StWheeling, WV 26003-4420 · (304) 843-2306 · Fax (304) 843-2308
Phone(304) 843-2306
Fax(304) 843-2308
Sole ProprietorNo
Enumeration DateJuly 21, 2020
NPPES CertifiedJuly 21, 2020
✔ NPI 1801404306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
87 SWIERKOS DR, Moundsville, WV 26041
Open in Google Maps ↗

Other Identifiers 5

Medicaid1356607394WV
Medicaid1710243753WV
Medicaid1255523494WV
Medicaid1114118973WV
Medicaid1821206228WV

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.

INDYA K CLEGG
Technician (Personal Care Attendant)
87 SWIERKOS DR
MOUNDSVILLE, WV 26041
Marshall County (304) 843-0910
SHAWNA LEE PELLEN
Technician (Personal Care Attendant)
87 SWIERKOS DR
MOUNDSVILLE, WV 26041
Marshall County (304) 843-0910
SHA MARIE YOHO
Technician (Personal Care Attendant)
87 SWIERKOS DR
MOUNDSVILLE, WV 26041
Marshall County (304) 843-2306
SHAUNDA MARIE REED
Technician (Personal Care Attendant)
87 SWIERKOS DR
MOUNDSVILLE, WV 26041
Marshall County (304) 843-0910
DEBRA A. DANTRASSY
Technician (Personal Care Attendant)
87 SWIERKOS DR
MOUNDSVILLE, WV 26041
Marshall County (304) 843-2306
LYNNIE JO MEADOWS
Technician (Personal Care Attendant)
87 SWIERKOS DR
MOUNDSVILLE, WV 26041
Marshall County (304) 843-0910
MELISSA DAWN CARNEY
Technician (Personal Care Attendant)
87 SWIERKOS DR
MOUNDSVILLE, WV 26041
Marshall County (304) 843-2306
SANDRA S DIETZ
Technician (Personal Care Attendant)
87 SWIERKOS DR
MOUNDSVILLE, WV 26041
Marshall County (304) 843-2306

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 Patricia Jack's NPI number?

The NPI number for Patricia Jack is 1801404306. It was assigned to this individual provider in the NPPES registry on July 21, 2020.

Where is Patricia Jack located?

Patricia Jack practices at 87 Swierkos Dr, Moundsville, WV 26041. The listed phone number is (304) 843-2306.

What is Patricia Jack's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Patricia Jack was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.