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Contact Information

JENNIFER L DRAKE, PA-C
1844 HARPER RD
BECKLEY, WV25801
 Phone: 304-250-0307
 Fax: 304-250-0384
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JENNIFER L DRAKE · (Female)

NPI Number 1124044722
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/15/2006
Last updated 06/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 10002493A
  • NM License # PA2019-0006
  • WV License # 01041
Hospital affiliation(s)
  • HOLY FAMILY MEMORIAL INC - (Acute Care)
    2300 WESTERN AVE
    MANITOWOC, WI 54221
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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