Provider Demographics
NPI:1023312469
Name:HALFHILL, JENNY E (DO)
Entity type:Individual
Prefix:
First Name:JENNY
Middle Name:E
Last Name:HALFHILL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3063 FREEPORT RD STE C
Mailing Address - Street 2:
Mailing Address - City:NATRONA HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:15065-1967
Mailing Address - Country:US
Mailing Address - Phone:724-226-2392
Mailing Address - Fax:724-224-1563
Practice Address - Street 1:3063 FREEPORT RD STE C
Practice Address - Street 2:
Practice Address - City:NATRONA HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:15065-1967
Practice Address - Country:US
Practice Address - Phone:724-226-2392
Practice Address - Fax:724-224-1563
Is Sole Proprietor?:No
Enumeration Date:2010-12-28
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS016114207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102724183Medicaid
242258Medicare PIN