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

Jennifer Hathorn, IDDWAIVERSERVICES

Individual provider Day Training/Habilitation Specialist · NPI 1356066948

Jennifer Hathorn, IDDWAIVERSERVICES is a Day Training/Habilitation Specialist in Laurel, Mississippi. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1925 Ellisville Blvd
Laurel, MS 39440-5426
Phone: (601) 651-2923
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X

Record details

NPI number1356066948
Entity typeIndividual (Type 1)
GenderFemale
Credentials IDDWAIVERSERVICES
Sole proprietorNo
NPI enumeratedOctober 6, 2022
Last updated in NPPESOctober 6, 2022
Certification dateOctober 6, 2022

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