Individual provider · Type 1 NPI
Jennifer R. Daake, PA-C
Medical Physician Assistant · Seymour, IN
NPI number
1790195600
Active
Practice location
411 W Tipton St
Seymour, IN 47274-2363
Fax (812) 522-0507
Other practice locations
- 9650 E Washington St Ste 100, Indianapolis, IN 46229-3032 · (317) 890-5500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 10001684A (IN) |
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1790195600
Jennifer R. Daake, PA-C's National Provider Identifier is 1790195600, issued on Apr 30, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Seymour, IN. The record was last updated on Jan 13, 2021.