Nichole Linda Jack
NPI #1922699487 in Bruceton Mills, West Virginia
Provider Information
- NPI Number
- 1922699487
- Entity Type
- Individual
- Name
- Nichole Linda Jack
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Jan 28, 2021
- Last Updated
- Jan 28, 2021
Practice Location
- Address
- 47 KRYS VIEW DR APT 432
- City
- Bruceton Mills
- State
- West Virginia
- ZIP Code
- 26525-9775
- Phone
- (304) 282-8293
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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