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

Jaclyn Marie Walters

Individual provider Early Intervention Provider Agency · NPI 1538984414

Jaclyn Marie Walters is an Early Intervention Provider Agency in Weirton, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2024

Practice location Address checks out

224 Theresa Dr
Weirton, WV 26062-9637
Phone: (304) 479-9378
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X (WV)

Record details

NPI number1538984414
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 18, 2024
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025

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