Provider Demographics
NPI:1285158758
Name:TRAINHAM, JENNIFER PAIGE (HIS)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:PAIGE
Last Name:TRAINHAM
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:MRS
Other - First Name:JENNIFER
Other - Middle Name:PAIGE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HIS
Mailing Address - Street 1:10237 SLIDING ROCK DRIVE
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116
Mailing Address - Country:US
Mailing Address - Phone:804-909-1134
Mailing Address - Fax:
Practice Address - Street 1:11057 THREE CHOPT ROAD
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23233
Practice Address - Country:US
Practice Address - Phone:804-924-4055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-27
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2101002146237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty