Provider Demographics
NPI:1902257819
Name:HUNT, JENNIFER TREENA ELIZABETH (PA-C)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:TREENA ELIZABETH
Last Name:HUNT
Suffix:
Gender:F
Credentials:PA-C
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2140 DAVIDSON RD
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53186-4008
Mailing Address - Country:US
Mailing Address - Phone:262-524-7361
Mailing Address - Fax:
Practice Address - Street 1:2140 DAVIDSON RD
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53186-4008
Practice Address - Country:US
Practice Address - Phone:262-524-7361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-22
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant