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

Jamie Lynn Tantiwongse

Individual provider Early Intervention Provider Agency · NPI 1295559680

Jamie Lynn Tantiwongse is an Early Intervention Provider Agency in Weston, West Virginia. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

168 Quarry Glenn Dr Apt 705
Weston, WV 26452-9690
Phone: (304) 838-0311
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

Record details

NPI number1295559680
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 12, 2024
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024

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