Individual
MRS. JENNIFER R RIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3997 BECKLEY RD, PRINCETON, WV 24740-7660
(304) 431-5499
(304) 431-3400
Mailing address
PO BOX 1106, FREEMAN, WV 24724
(304) 589-6399
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
686
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001748611
BCBS
WV
01
—
001748653
BCBS
WV
05
—
0022360001
—
WV
05
—
0035334000
—
WV
05
—
3810000421
—
WV
01
—
CD7656
RR MC
WV
Enumeration date
07/19/2006
Last updated
05/07/2008
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