Provider Demographics
NPI:1689793168
Name:LINDEN, JENNIFER ALBERS (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ALBERS
Last Name:LINDEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:CAROL
Other - Last Name:ALBERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1405 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82716-3327
Mailing Address - Country:US
Mailing Address - Phone:307-688-2666
Mailing Address - Fax:307-685-3079
Practice Address - Street 1:1414 W 4TH ST
Practice Address - Street 2:
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82716-3328
Practice Address - Country:US
Practice Address - Phone:307-688-6658
Practice Address - Fax:307-686-8190
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MP0428207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology