Jennifer L Pack, PA-C

NPI #1396786562 in Princeton, West Virginia

Provider Information

NPI Number: 1396786562
Entity Type: Individual
Name: Jennifer L Pack, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 9, 2006
Last Updated: Nov 9, 2007

Practice Location

Address: 122 12TH ST
City: Princeton
State: West Virginia
ZIP Code: 24740
Phone: (304) 487-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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