Provider Demographics
NPI:1326552340
Name:OHAGAN, JENNIFER PATRICE (RH(AHG), CMT)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:PATRICE
Last Name:OHAGAN
Suffix:
Gender:F
Credentials:RH(AHG), CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 WALNUT ST
Mailing Address - Street 2:PO BOX 528
Mailing Address - City:HOPE
Mailing Address - State:NJ
Mailing Address - Zip Code:07844
Mailing Address - Country:US
Mailing Address - Phone:908-268-0393
Mailing Address - Fax:
Practice Address - Street 1:2 WALNUT ST
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:NJ
Practice Address - Zip Code:07844
Practice Address - Country:US
Practice Address - Phone:908-268-0393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-29
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator