Individual
JENNIFER R DAAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 522-2349
(812) 522-0507
Mailing address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 522-2349
(812) 522-0507
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10001684A
IN
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
04/30/2014
Last updated
01/13/2021
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