Individual
MISS JENNIFER LYNN DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1844 HARPER RD, BECKLEY, WV 25801
(304) 250-0307
(304) 250-0384
Mailing address
1844 HARPER RD, BECKLEY, WV 25801-3366
(304) 250-0307
(304) 250-0384
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
01041
WV
363A00000X
Physician Assistant
Primary
10002493A
IN
363A00000X
Physician Assistant
PA2019-0006
NM
Other
Enumeration date
07/15/2006
Last updated
06/07/2023
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