Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN WALLACE
Active Sole ProprietorJORDAN WALLACE is a Home Health Aide healthcare provider located in MAN, West Virginia. NPI 1962391359 is currently active in the NPPES registry. Verify at CMS.
Home Health Aide · MAN, WV
Registration Details
- NPI Number
- 1962391359
- Provider Type
- Individual
- Gender
- Unknown
- NPI Issued
- Jun 30, 2025 (1.1138328982737 yrs)
- Last Updated
- Jun 30, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
503 E MCDONALD AVEMAN, WV, 256351014Browse WV providers · Browse ZIP 25635
- Phone
- 3046870172
- Primary Specialty
-
Home Health Aide
374U00000X
Other Home Health Aide Providers in MAN, WV
| Name | Credential | NPI |
|---|---|---|
| STEPHANIE TOLER | — | 1962239236 |
| STANLEY ROBINETTE | — | 1396537213 |
| SHERRI L LAMB | — | 1578450458 |
| MARY MARGARET MAYNARD | — | 1689562225 |
| CHERYL MARIE MARCUM | — | 1952299620 |
| BRIAN MICHAEL ROBINSON | — | 1396634374 |
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.