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REBECCA JACKSON
NPI 1962099119
Technician - Personal Care Attendant in Mount Clare, WV

Active since December 22, 2020
101 JAMES MARTIN CIR, MOUNT CLARE, WV 26408(304) 695-7093 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rebecca Jackson NPPES

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

REBECCA JACKSON (NPI 1962099119) is an individual personal care attendant in Mount Clare, West Virginia and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1962099119
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameREBECCA JACKSON
Location Address101 JAMES MARTIN CIRMount Clare, WV 26408-7066
Mailing Address101 James Martin CirMount Clare, WV 26408-7066 · (304) 695-7093
Phone(304) 695-7093
Sole ProprietorYes
Enumeration DateDecember 22, 2020
NPPES CertifiedDecember 22, 2020
✔ NPI 1962099119 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
101 JAMES MARTIN CIR, Mount Clare, WV 26408
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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 Rebecca Jackson's NPI number?

The NPI number for Rebecca Jackson is 1962099119. It was assigned to this individual provider in the NPPES registry on December 22, 2020.

Where is Rebecca Jackson located?

Rebecca Jackson practices at 101 James Martin Cir, Mount Clare, WV 26408. The listed phone number is (304) 695-7093.

What is Rebecca 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 Rebecca Jackson was last updated on December 22, 2020. 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.