MEDICARE: JENNIFER MAYHUE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant		WV

General Provider Information

NPI Number	:	1497351720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER MAYHUE

Provider Business Mailing Address
First Line	:	PO BOX 4273
Second Line	:
City	:	CHAPMANVILLE
State	:	WV
Zip	:	25508-4273
Country	:	US
Telephone Number	:	304-855-4430
Fax Number	:

Provider Business Practice Location Address
First Line	:	86 SHAE AVE
Second Line	:
City	:	CHAPMANVILLE
State	:	WV
Zip	:	25508-9805
Country	:	US
Telephone Number	:	304-855-4430
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2020
Last Update Date	:	11/06/2025

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Directions to “ JENNIFER MAYHUE ” Practice Location

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