Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Teton Pediatrics PC

Organization Pediatrics Physician · NPI 1790388213

Teton Pediatrics PC is a Pediatrics Physician in Jackson, Wyoming. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

555 E Broadway Ave Ste 202
Jackson, WY 83001-8640
Phone: (307) 733-6520
Fax: (307) 733-3216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1790388213
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacquelin Hardenbrook — Owner · (307) 733-6520
Other names Teton Pediatrics
NPI enumeratedNovember 18, 2020
Last updated in NPPESDecember 1, 2020
Certification dateDecember 1, 2020
Mailing addressPo Box 4182, Jackson, WY 83001-4182

Other providers in Jackson