1598412496 NPI number — JENNIFER L HUNT AGNP LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598412496 NPI number — JENNIFER L HUNT AGNP LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JENNIFER L HUNT AGNP LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598412496
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/10/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3340 PROVIDENCE DR STE A-466
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ANCHORAGE
Provider Business Mailing Address State Name:
AK
Provider Business Mailing Address Postal Code:
99508-4691
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
907-263-2200
Provider Business Mailing Address Fax Number:
907-276-0366

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3340 PROVIDENCE DRIVE
Provider Second Line Business Practice Location Address:
SUITE A-466
Provider Business Practice Location Address City Name:
ANCHORAGE
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99508-4691
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-263-2200
Provider Business Practice Location Address Fax Number:
907-276-0366
Provider Enumeration Date:
03/10/2022

Additional Information

Authorized Official

Authorized Official Last Name:
HUNT
Authorized Official First Name:
JENNIFER
Authorized Official Middle Name:
LANDRETH
Authorized Official Title or Position:
NURSE PRACTITIONER
Authorized Official Telephone Number:
907-263-2200

Provider Taxonomy Codes

  • Taxonomy code: 363LA2200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com