Individual
JENNIFER SHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1489 FAIRMONT RD, MORGANTOWN, WV 26501-9729
(304) 290-1204
Mailing address
1489 FAIRMONT RD, MORGANTOWN, WV 26501-9729
(304) 290-1204
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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