Individual
JENNIFER FAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19771 COAL HERITAGE RD, WELCH, WV 24801-9825
(304) 436-6650
(304) 436-2629
Mailing address
PO BOX 1650, PINEVILLE, WV 24874-1650
(304) 732-6735
(304) 732-9218
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
72618
WV
Other
Enumeration date
06/06/2016
Last updated
05/24/2018
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