Individual
AMY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
100 SUNVIEW DR APT 3C, BEAVER, WV 25813-9789
(304) 923-7471
Mailing address
100 SUNVIEW DR APT 3C, BEAVER, WV 25813-9789
(304) 923-7471
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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