Jennifer L Pack in Princeton - Physician Assistant
Jennifer L Pack - NPI 1396786562
Jennifer L Pack is a Physician Assistant in Princeton, . Jennifer L Pack practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer L Pack is 1396786562. The last update date is 2007-11-09.
Jennifer L Pack's current location address is 122 12th St, Princeton, . You can contact this provider via phone number 3044877000. The mailing address for Jennifer L Pack is 122 12th St, Princeton, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer L Pack |
|---|---|
| Address | 122 12th St, Princeton, |
| Phone Number | 3044877000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1396786562 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2007-11-09 |
Provider Mailing Address Detail
| Address | 122 12th St |
|---|---|
| City | Princeton |
| State | (WV) |
| Post Code | 24740 |
| Phone Number | 3044877000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 878 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00343573 | WV | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the Jennifer L Pack's unique identification number?
The Jennifer L Pack has been assigned the NPI (National Provider Identifier) Number 1396786562 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Jennifer L Pack?
The Jennifer L Pack is physically situated at 122 12Th St, in the city of Princeton, state of WV, with the postal code 24740.
What is the Jennifer L Pack's area of specialization and corresponding taxonomy classification?
The Jennifer L Pack's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Jennifer L Pack receive the assignment of its 1396786562 from the Centers for Medicare & Medicaid Services?
The Jennifer L Pack was issued its 1396786562 by the Centers for Medicare & Medicaid Services on 2006-06-09.
When was the information regarding Jennifer L Pack, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jennifer L Pack, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-09.
NPI Number: 1316940851
Address: 2410 N Glendale Dr Ste A, Fort Wayne, IN