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

Marisa Jade Shupe

Individual provider Personal Care Attendant · NPI 1205504776

Marisa Jade Shupe is a Personal Care Attendant in Beckley, West Virginia. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

307 Wyoming Ave
Beckley, WV 25801-3434
Phone: (276) 220-6817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X

Record details

NPI number1205504776
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2021
Last updated in NPPESAugust 31, 2021
Certification dateAugust 31, 2021
Mailing address307 Wyoming Ave, Beckley, WV 25801-3434

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