Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacklyn Nuckols

Individual provider Occupational Therapy Assistant · NPI 1760172845

Jacklyn Nuckols is an Occupational Therapy Assistant in Ansted, West Virginia. Licensed in West Virginia. Registered with an NPI since 2023.

Licensed in
WV
In the registry since
2023

Practice location Address checks out

96 Tyree St
Ansted, WV 25812-2581
Phone: (304) 658-5271
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence C2433 (WV)

Record details

NPI number1760172845
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 11, 2023
Last updated in NPPESMay 11, 2023
Certification dateMay 1, 2023
Mailing addressPo Box 536, Ansted, WV 25812-0536

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