Individual
MRS. JENNIFER LYNN CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSITANT -
Contact information
Practice address
1100 MAIN ST STE 104, WHEELING, WV 26003-2737
(304) 460-5123
(800) 734-8498
Mailing address
1005 WHITE WILLOW WAY, MORGANTOWN, WV 26505-6119
(304) 460-5123
(800) 734-8498
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
785
WV
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/27/2008
Last updated
04/17/2023
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