Individual
JACQUALYN H. RAUPACH-SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
725 N PIKE ST, GRAFTON, WV 26354-1270
(304) 265-0312
(304) 265-4915
Mailing address
PO BOX 399, GRAFTON, WV 26354-0399
(304) 265-4909
(304) 265-4915
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110765
WV
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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