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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JORDAN STALEY

Active Sole Proprietor

JORDAN STALEY is a Early Intervention Provider Agency healthcare provider located in FALLING WATERS, West Virginia. NPI 1750179198 is currently active in the NPPES registry. Verify at CMS.

Early Intervention Provider Agency · FALLING WATERS, WV

Registration Details

NPI Number
1750179198
Provider Type
Individual
Gender
Female
NPI Issued
Apr 26, 2025 (1.1174295581286 yrs)
Last Updated
Apr 26, 2025
Sole Proprietor
Yes

Practice Information

Address
1414 KITCHENS ORCHARD RD
FALLING WATERS, WV, 254193872
Browse WV providers · Browse ZIP 25419
Phone
3048862832
Primary Specialty
Early Intervention Provider Agency
252Y00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.