NICHOLE LINDA JACK
NPI 1922699487
Technician - Personal Care Attendant in Bruceton Mills, WV

Q: What is Nichole Jack's NPI number?

The NPI number for Nichole Jack is 1922699487. It was assigned to this individual provider in the NPPES registry on January 28, 2021.

Q: What is Nichole Jack's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

Q: When was this NPI record last updated?

The NPPES record for Nichole Jack was last updated on January 28, 2021. 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.

Active since January 28, 2021

47 KRYS VIEW DR APT 432, BRUCETON MILLS, WV 26525(304) 282-8293 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nichole Linda Jack NPPES

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

NICHOLE LINDA JACK (NPI 1922699487) is an individual personal care attendant in Bruceton Mills, West Virginia and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1922699487

Entity TypeIndividualFemale

Primary Taxonomy3747P1801X

Provider Legal NameNICHOLE LINDA JACK

Location Address47 KRYS VIEW DR APT 432Bruceton Mills, WV 26525-9775

Mailing Address47 Krys View Dr Apt 432Bruceton Mills, WV 26525-9775 · (304) 282-8293

Phone(304) 282-8293

Sole ProprietorNo

Enumeration DateJanuary 28, 2021

NPPES CertifiedJanuary 28, 2021

✔ NPI 1922699487 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

47 KRYS VIEW DR APT 432, Bruceton Mills, WV 26525

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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 Nichole Jack's NPI number?

The NPI number for Nichole Jack is 1922699487. It was assigned to this individual provider in the NPPES registry on January 28, 2021.

Where is Nichole Jack located?

Nichole Jack practices at 47 Krys View Dr Apt 432, Bruceton Mills, WV 26525. The listed phone number is (304) 282-8293.

What is Nichole Jack'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 Nichole Jack was last updated on January 28, 2021. 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.