JACKLENE NICOLE BLAKE


Address: 1914 Washington Ave, Huntington, WV 25704-1443
Phone: 3043600100

JACKLENE NICOLE BLAKE (NPI# 1942800339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942800339
Entity Type Individual
Full Name JACKLENE NICOLE BLAKE
Practice Address 1914 Washington Ave
Huntington
WV 25704-1443
Practice Telephone 3043600100
Mailing Telephone 3043600100
Enumeration Date 2020-10-27
Last Update Date 2020-10-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers

Office Location

Street Address 1914 WASHINGTON AVE
City HUNTINGTON
State WV
Zip Code 25704-1443

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497354161 Sherry Jean Short Technician 315 1/2 W 13th Street, Huntington, WV 25704 2020-10-22
1063029940 Kathern Sullivan Technician 2950 Apt. B1 Auburn Rd, Huntington, WV 25704 2020-09-25
1932713229 John Webb Technician 3717 Lot 17 Rte. 75, Huntington, WV 25704 2020-09-03
1679114458 Betty Bentley Technician 1588 Spring Valley Drive, Huntington, WV 25704 2019-10-03
1568948958 Jessica E Hall Assistant Behavior Analyst 4614 Waverly Road, Huntington, WV 25704 2018-07-18
1538662457 Abayomi Adeyi Nurse Practitioner Huntington Va Medical Center 1540 Spring Valley Drive, Huntington, WV 25704 2018-03-16
1851807242 Shirley Meldave Ross Technician 1591 Buffalo Creek Road, Huntington, WV 25704 2017-12-20
1245772045 Emily Marie Miller Massage Therapist 3637 Hughes St, Huntington, WV 25704 2016-11-09
1265785737 William M Jennings IIi Internal Medicine 1448 10th Avenue, Suite 100, Huntington, WV 25704 2012-10-22
1477709921 Huntington Va Medical Center General Acute Care Hospital 540 Spring Valley Dr, Huntington, WV 25704 2008-08-15
Find all providers in zip 25704

Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy 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
Notes: [7/1/2003: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073114054 Ann Marie Adkins Technician 702 Bridge St Apt C, Huntington, WV 25702-1668 2020-11-05
1891395570 Gregory Ramon West Technician 312 9th St W, Huntington, WV 25704-1706 2020-10-30
1750981411 Tracie Anne Canter Technician 142 Priddie St, Huntington, WV 25705-1239 2020-10-30
1356941025 Stephanie Donya Washington Technician 409 Saint Louis Ave, Huntington, WV 25705-1522 2020-10-30
1205436102 Christy Rennia Hughes Technician 1737 12th Ave, Huntington, WV 25701-3832 2020-10-29
1952901902 Parzella Harris Technician 1805 Mcveigh Ave, Huntington, WV 25701-4217 2020-10-29
1972103935 Margaret Renee Samples Technician 1937 Underwood Ave, Huntington, WV 25701-4227 2020-10-29
1679173744 Stephanie Ferguson Technician 813 17th St, Huntington, WV 25703-1715 2020-10-28
1023618188 Kip Butler Technician 3205 3rd Ave, Huntington, WV 25702-1601 2020-10-28
1285234542 Brenda Gail Pleasants Technician 2746 Emmons Ave, Huntington, WV 25702-1126 2020-10-27
Find all providers in HUNTINGTON

Competitor

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City HUNTINGTON
Zip Code 25704

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Dataset Information

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.

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