JACQUELINE WICKLINE BROWN (NPI# 1710599006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710599006 |
| Entity Type | Individual |
| Full Name | JACQUELINE WICKLINE BROWN |
| Practice Address |
519 Fort Spring Pike Ronceverte WV 24970-8093 |
| Practice Telephone | 3046612158 |
| Mailing Telephone | 3046612158 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972130078 | Jacqueline Leigh Brown | Nurse Practitioner | 904 Holiday Dr Ste 402, Forrest City, AR 72335-9157 | 2020-03-26 |
| 1396389763 | Jacqueline Marie Brown | Speech-Language Pathologist | 1207 N 152nd St Ste A, Shoreline, WA 98133-6247 | 2019-10-29 |
| 1801398573 | Jacqueline Brown | Registered Nurse | 3580 Sowles Rd Apt 318, Hamburg, NY 14075-2612 | 2018-03-08 |
| 1871017814 | Jacqueline Diana Brown | Counselor | 7405 Metropolitan Ave Apt 2f, Middle Village, NY 11379-2636 | 2017-08-01 |
| 1760905772 | Jacqueline Brown | Technician | 5212 C St Se, Washington, DC 20019-6311 | 2017-07-21 |
| 1326592767 | Jacqueline Lee Brown | Speech-Language Pathologist | 30 N 1st E, Driggs, ID 83422-5219 | 2016-08-14 |
| 1902201585 | Jacqueline Brown | Registered Nurse | 1203 Jackson St, Marinette, WI 54143-2014 | 2014-10-25 |
| 1093125825 | Jacqueline Florence Brown | Licensed Practical Nurse | 56 S 11th Ave, Mount Vernon, NY 10550-2909 | 2014-05-01 |
| 1922425362 | Jacqueline Brown | Nurse Practitioner | 529 Penn Ave, Drexel Hill, PA 19026-1414 | 2014-03-24 |
| 1902175946 | Jacqueline Brown | Counselor | 780 Hart St, Gallatin, TN 37066-2553 | 2011-12-20 |
| Street Address |
519 FORT SPRING PIKE |
| City | RONCEVERTE |
| State | WV |
| Zip Code | 24970-8093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197980 | Susan Linton | Technician | 3776 Holes Mill Rd, Ronceverte, WV 24970 | 2020-09-04 |
| 1417561143 | Lori Selene Pickler | Technician | 974 C.west Main St, Ronceverte, WV 24970 | 2020-09-01 |
| 1184237257 | Jotina Hamrick | Technician | 194 Sellers St. Apt.a, Ronceverte, WV 24970 | 2020-08-28 |
| 1871072066 | Blink, Inc. | Eyewear Supplier (Equipment, not the service) | 3942 David Stuart Road, Suite 1, Ronceverte, WV 24970 | 2018-08-09 |
| 1407233976 | Rocky Mountain Holdings, LLC | Ambulance | 584 Airport Road, Box 9 (hangar 4), Lewisburg, WV 24970 | 2015-05-04 |
| 1245500040 | Seneca Family Foot Care, Pllc | Podiatrist | 336 Seneca Trail, Ronceverte, WV 24970 | 2012-01-10 |
| 1922301035 | Dwan Shasta Hamons | Pharmacist | 180 Red Oaks Shopping Center, Ronceverte, WV 24970 | 2010-12-10 |
| 1427351840 | Xuan Le Berry | Pharmacist | 180 Red Oaks Shopping Ctr., Ronceverte, WV 24970 | 2010-12-07 |
| 1104129683 | James P Meadows | Pharmacist | 180 Red Oak Shopping Center, Ronceverte, WV 24970 | 2010-12-06 |
| 1891924676 | Blink, Inc. | Optometrist | 101 Davis Stuart Road, Ronceverte, WV 24970 | 2009-07-14 |
| Find all providers in zip 24970 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| 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 |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197980 | Susan Linton | Technician | 3776 Holes Mill Rd, Ronceverte, WV 24970 | 2020-09-04 |
| 1417561143 | Lori Selene Pickler | Technician | 974 C.west Main St, Ronceverte, WV 24970 | 2020-09-01 |
| 1184237257 | Jotina Hamrick | Technician | 194 Sellers St. Apt.a, Ronceverte, WV 24970 | 2020-08-28 |
| 1073126371 | Angela C Martin | Technician | 3952 Teaberry Rd, Ronceverte, WV 24970-1582 | 2020-08-26 |
| 1366054512 | Lee Ann Cox | Technician | 347 John Perry Ln, Ronceverte, WV 24970-1651 | 2020-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336980 | Tricia Carpenter | Technician | 123 Water St, Spencer, WV 25276-1736 | 2020-11-08 |
| 1922609619 | Michael Nakonechny | Technician | 1443 20th St, Parkersburg, WV 26101-3421 | 2020-11-08 |
| 1942801634 | Connie Stewart | Technician | 64 Cardinal Ln, Glenville, WV 26351-1700 | 2020-11-08 |
| 1215538905 | Mary Caplinger | Technician | 2201 Beverly St, Parkersburg, WV 26101-6814 | 2020-11-08 |
| 1205437993 | Rhonda Allman | Technician | 3118 Harris Hwy, Washington, WV 26181-8709 | 2020-11-08 |
| 1396346086 | Danielle Ayers | Technician | 9691 N Calhoun Hwy, Big Springs, WV 26137-7537 | 2020-11-08 |
| 1649871328 | Leah West | Technician | 132 Miller Dr Apt D, Ripley, WV 25271-1126 | 2020-11-08 |
| 1841891538 | Deidra Montgomery | Technician | 1402 Lake Washington Rd, Washington, WV 26181-8222 | 2020-11-08 |
| 1790386605 | Samantha Faye Oscar | Technician | 279 Roy Dr, Ridgeley, WV 26753-9451 | 2020-11-06 |
| 1235730185 | Andrew Lee Fluharty | Technician | 1222 23rd St, Parkersburg, WV 26101-2702 | 2020-11-06 |
| Find all providers with the same taxonomy | ||||
| City | RONCEVERTE |
| Zip Code | 24970 |
Please comment or provide details below to improve the information on JACQUELINE WICKLINE BROWN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.