Jennifer Christine Hathaway
Jennifer Christine Hathaway is a Student in an Organized Health Care Education/Training Program in Burnsville, Minnesota. Practices as a sole proprietor and works from 2 locations. Licensed in Minnesota.
- Licensed in
- MN
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
Burnsville, MNNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 717 Delaware St Se Ste 353, Minneapolis, MN 55414-2959 — (612) 626-3761
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 76819 (MN) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence X000-057-306-400 (MN) |
Record details
| NPI number | 1124600093 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 21, 2021 |
| Last updated in NPPES | July 19, 2024 |
| Certification date | July 19, 2024 |
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