Provider Demographics
NPI:1114105632
Name:FEATHER, JENNIFER ERIN (DC)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ERIN
Last Name:FEATHER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 HEMLOCK LN N
Mailing Address - Street 2:SUITE LL3
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55369-5576
Mailing Address - Country:US
Mailing Address - Phone:763-898-3494
Mailing Address - Fax:
Practice Address - Street 1:7200 HEMLOCK LN N
Practice Address - Street 2:SUITE LL3
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55369-5576
Practice Address - Country:US
Practice Address - Phone:763-898-3494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5079111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor