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

Jordan Wallace

Individual provider Home Health Aide · NPI 1962391359

Jordan Wallace is a Home Health Aide in Man, West Virginia. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

503 E McDonald Ave
Man, WV 25635-1014
Phone: (304) 687-0172
Show map & directions

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

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X

Record details

NPI number1962391359
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedJune 30, 2025
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing address503 E McDonald Ave, Man, WV 25635-1014

Other providers in Man