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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JERRELL JACKSON
NPI 1932019643
Technician - Personal Care Attendant in Clay, WV

Active since September 08, 2026
172 MAIN STREET, PO BOX 455, CLAY, WV 25043(304) 587-4251 Get Directions Write a Review

NPPES record added: September 8, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Jerrell Jackson NPPES

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

JERRELL JACKSON (NPI 1932019643) is an individual personal care attendant in Clay, West Virginia and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1932019643
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameJERRELL JACKSON
Location Address172 MAIN STREET, PO BOX 455Clay, WV 25043
Mailing AddressPo Box 455Clay, WV 25043-0455
Phone(304) 587-4251
Sole ProprietorNo
Enumeration DateSeptember 8, 2026
NPPES CertifiedSeptember 4, 2026
✔ NPI 1932019643 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
172 MAIN STREET, Clay, WV 25043
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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.

EDNA NEAL
Technician (Personal Care Attendant)
172 MAIN STREET
CLAY, WV 25043
Clay County (304) 587-4251
CHRISTINA BELT
Technician (Personal Care Attendant)
172 MAIN STREET
CLAY, WV 25043
Clay County (304) 587-4251
ANGEL LANIE MCDIVITT
Technician (Personal Care Attendant)
172 MAIN STREET
CLAY, WV 25043
Clay County (304) 587-4251
CLARA SEARS
Technician (Personal Care Attendant)
172 MAIN STREET
CLAY, WV 25043
Clay County (304) 587-4251
EDNA BELT
Technician (Personal Care Attendant)
172 MAIN STREET
CLAY, WV 25043
Clay County (304) 587-4251
JERRI FERREBEE
Technician (Personal Care Attendant)
172 MAIN STREET
CLAY, WV 25043
Clay County (304) 587-4251
KRISTINA PECK
Technician (Personal Care Attendant)
172 MAIN STREET
CLAY, WV 25043
Clay County (304) 587-4251
KAREN LYNN SEARS
Technician (Personal Care Attendant)
172 MAIN STREET
CLAY, WV 25043
Clay County (304) 587-4251

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 Jerrell Jackson's NPI number?

The NPI number for Jerrell Jackson is 1932019643. It was assigned to this individual provider in the NPPES registry on September 8, 2026.

Where is Jerrell Jackson located?

Jerrell Jackson practices at 172 Main Street PO Box 455, Clay, WV 25043. The listed phone number is (304) 587-4251.

What is Jerrell 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 Jerrell Jackson was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.