Provider Demographics
NPI:1548027089
Name:STRINGER, JACQUELIINE MARIE
Entity type:Individual
Prefix:
First Name:JACQUELIINE
Middle Name:MARIE
Last Name:STRINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 LEFTWICH AVE
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WV
Mailing Address - Zip Code:25130-1330
Mailing Address - Country:US
Mailing Address - Phone:304-928-0283
Mailing Address - Fax:
Practice Address - Street 1:106 LEFTWICH AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WV
Practice Address - Zip Code:25130-1330
Practice Address - Country:US
Practice Address - Phone:304-928-0283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV374U00000X, 376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No374U00000XNursing Service Related ProvidersHome Health Aide