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

Jenesis Samuels

Individual provider Driver · NPI 1396340741

Jenesis Samuels is a Driver in Fairmont, West Virginia. Licensed in West Virginia. Registered with an NPI since 2020.

Licensed in
WV
In the registry since
2020
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Practice location Address checks out

200 Braddock St
Fairmont, WV 26554-2208
Phone: (304) 534-0538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X (WV)

Record details

NPI number1396340741
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 3, 2020
Last updated in NPPESDecember 3, 2020
Certification dateDecember 3, 2020
Mailing address200 Braddock St, Fairmont, WV 26554-2208

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