Provider Demographics
NPI:1992828990
Name:HUFNAGLE, JENNIFER ELAINE (CNA)
Entity Type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:ELAINE
Last Name:HUFNAGLE
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:MISS
Other - First Name:JENNIFER
Other - Middle Name:ELAINE
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNA
Mailing Address - Street 1:1259 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:SUNBURY
Mailing Address - State:PA
Mailing Address - Zip Code:17801-2420
Mailing Address - Country:US
Mailing Address - Phone:570-286-7607
Mailing Address - Fax:
Practice Address - Street 1:1259 MARKET STREET
Practice Address - Street 2:
Practice Address - City:SUNBURY
Practice Address - State:PA
Practice Address - Zip Code:17801
Practice Address - Country:US
Practice Address - Phone:570-524-0900
Practice Address - Fax:570-524-0910
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA9203450376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide