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NPI Code Detail

MEDICARE: JAXON SANTMYER

MEDICARE:   JAXON  SANTMYER
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1881526127
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAXON SANTMYER
Provider Business Mailing Address
First Line : 206 TARBERT CT
Second Line :
City : MORGANTOWN
State : WV
Zip : 26508-4515
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 126 LORENTZ ST
Second Line :
City : MORGANTOWN
State : WV
Zip : 26505-4818
Country : US
Telephone Number : 681-285-8742
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ JAXON SANTMYER ” Practice Location

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