Provider Demographics
NPI:1457033714
Name:MCLAUGHLIN, JENNY LYNN
Entity Type:Individual
Prefix:
First Name:JENNY
Middle Name:LYNN
Last Name:MCLAUGHLIN
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 1:56 CARR ST
Mailing Address - Street 2:
Mailing Address - City:CLAY
Mailing Address - State:WV
Mailing Address - Zip Code:25043-6001
Mailing Address - Country:US
Mailing Address - Phone:681-990-1433
Mailing Address - Fax:
Practice Address - Street 1:56 CARR ST
Practice Address - Street 2:
Practice Address - City:CLAY
Practice Address - State:WV
Practice Address - Zip Code:25043-6001
Practice Address - Country:US
Practice Address - Phone:681-990-1433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-04
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant