What is Jackie Nickerson's NPI number?

Jackie Nickerson's National Provider Identifier (NPI) is 1184510117, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jackie Nickerson's specialty?

Jackie Nickerson is listed in the NPPES registry with a primary specialty of Personal Care Attendant (Nursing Service Related Providers).

Where is Jackie Nickerson located?

Jackie Nickerson's practice location on file with NPPES is 59071 Crozier Rd, Jacksonburg, WV 43933.

What is Jackie Nickerson's phone number?

The practice phone number listed in the NPPES registry for Jackie Nickerson is (740) 579-2697.

Is Jackie Nickerson's NPI active?

Yes — Jackie Nickerson's NPI (1184510117) is active in the NPPES registry as of the last update on 2025-06-16.

IndividualActive

Jackie Nickerson

NPI 1184510117 · Personal Care Attendant · Jacksonburg, WV

Jackie Nickerson is a Personal Care Attendant provider in Jacksonburg, WV (NPI 1184510117).

Provider details

NPI number: 1184510117
Entity type: Individual
Primary specialty: Personal Care AttendantNursing Service Related Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Personal Care AttendantPrimary3747P1801X
Nursing Service Related Providers

Profile Score

Basic profile(48/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

59071 Crozier Rd

Jacksonburg, WV 43933

Phone: (740) 579-2697

Approximate (ZIP-level) locationGet directions

More WV providers

Mailing address