Provider Demographics
NPI:1548263296
Name:HURLOW, JENNIFER (GNP, CWOCN)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:HURLOW
Suffix:
Gender:
Credentials:GNP, CWOCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6019 WALNUT GROVE RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-2113
Mailing Address - Country:US
Mailing Address - Phone:901-226-2584
Mailing Address - Fax:901-226-0390
Practice Address - Street 1:6019 WALNUT GROVE RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-2113
Practice Address - Country:US
Practice Address - Phone:901-226-2584
Practice Address - Fax:901-226-0390
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-24
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7673163WW0000X, 363L00000X
TN117080363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Single Specialty
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3370186OtherMEDICARE GROUP NUMBER
TN39042403Medicaid
TN3370186OtherMEDICARE GROUP NUMBER
TN39042403Medicaid