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Individual

MISS JACQUELINE OLIVIA RABER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
901 JEFFERSON AVE, GLEN DALE, WV 26038-1407
(304) 843-3302
Mailing address
980 FAIRCHANCE RD, MORGANTOWN, WV 26508-2650
(304) 376-9965

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F07200457
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107051
WV BOARD OF REGISTERED NURSES
WV
01
97909
WV BOARD OF REGISTERED NURSES
WV
01
F07200457
AMERICAN ACADEMY OF NURSE PRACTITIONERS
WV
Enumeration date
12/16/2020
Last updated
09/24/2025
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