Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shane Tyler Wyatt Jordan

Individual provider Personal Care Attendant · NPI 1255204632

Shane Tyler Wyatt Jordan is a Personal Care Attendant in Belington, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2025
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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

Visits clients at home This work is carried out in the client's own home, so the registered address is a private residence rather than a place you can visit. We do not publish it. Contact details come from the provider or the agency that employs them.

Belington, WV

No coordinates on file. Search this address in Google Maps

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X (WV)

Record details

NPI number1255204632
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 24, 2025
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025

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