NPI Profile for JACKIE NICKERSON in JACKSONBURG, WV.
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
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Personal Care Attendant |
3747P1801X |
| NPI # | 1184510117 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/16/2025 | |
| Last updated | 06/16/2025 - About 12 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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