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

Nichole Linda Jack

Individual provider Personal Care Attendant · NPI 1922699487

Nichole Linda Jack is a Personal Care Attendant in Bruceton Mills, West Virginia. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

47 Krys View Dr Apt 432
Bruceton Mills, WV 26525-9775
Phone: (304) 282-8293
Show map & directions

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

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X

Record details

NPI number1922699487
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 28, 2021
Last updated in NPPESJanuary 28, 2021
Certification dateJanuary 28, 2021

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