Individual provider · Type 1 NPI

Jackie Nickerson

Personal Care Attendant · Jacksonburg, WV

NPI number 1184510117 Active

Practice location

59071 Crozier Rd
Jacksonburg, WV 43933

Specialties and licenses

Taxonomy	Code	License
Personal Care Attendant Primary	3747P1801X	None listed

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

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About NPI 1184510117

Jackie Nickerson's National Provider Identifier is 1184510117, issued on Jun 16, 2025. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Jacksonburg, WV. The record was last updated on Jun 16, 2025.