Provider Demographics
NPI:1174498513
Name:GITTINGS, JARRETT
Entity type:Individual
Prefix:
First Name:JARRETT
Middle Name:
Last Name:GITTINGS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 PYRAMUS RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:WV
Mailing Address - Zip Code:26034-1421
Mailing Address - Country:US
Mailing Address - Phone:304-670-2690
Mailing Address - Fax:
Practice Address - Street 1:607 PYRAMUS RD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:WV
Practice Address - Zip Code:26034-1421
Practice Address - Country:US
Practice Address - Phone:304-670-2690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide