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

Jennifer Christine Hathaway

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124600093

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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Burnsville, MN

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 number1124600093
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 21, 2021
Last updated in NPPESJuly 19, 2024
Certification dateJuly 19, 2024

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