Provider Demographics
NPI:1457023764
Name:HUNT, JENNIFER (NONE)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:HUNT
Suffix:
Gender:F
Credentials:NONE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13040 PRICES DISTILLERY RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20871-9401
Mailing Address - Country:US
Mailing Address - Phone:202-632-6954
Mailing Address - Fax:
Practice Address - Street 1:13040 PRICES DISTILLERY RD
Practice Address - Street 2:
Practice Address - City:CLARKSBURG
Practice Address - State:MD
Practice Address - Zip Code:20871-9401
Practice Address - Country:US
Practice Address - Phone:202-632-6954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-05
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker