Healthcare Provider Details

I. General information

NPI: 1346167038
Provider Name (Legal Business Name): JENNA OLIVER
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 OHIO ST
FOLLANSBEE WV
26037-1429
US

IV. Provider business mailing address

511 OHIO ST
FOLLANSBEE WV
26037-1429
US

V. Phone/Fax

Practice location:
  • Phone: 740-219-5460
  • Fax:
Mailing address:
  • Phone: 740-219-5460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: