DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER CHRISTINE HATHAWAY

Active Sole Proprietor

JENNIFER CHRISTINE HATHAWAY is a Pediatrics healthcare provider located in BURNSVILLE, Minnesota. NPI 1124600093 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · BURNSVILLE, MN

Registration Details

NPI Number
1124600093
Provider Type
Individual
Gender
Female
NPI Issued
Apr 21, 2021 (5.2736481340932 yrs)
Last Updated
Jul 19, 2024
Licenses
X000-057-306-400 (MN)
76819 (MN)
Sole Proprietor
Yes

Practice Information

Address
14000 FAIRVIEW DR
BURNSVILLE, MN, 553375713
Browse MN providers · Browse ZIP 55337
Phone
9529938700
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics

Other Pediatrics Providers in BURNSVILLE, MN

Name Credential NPI
DR. SHEILA J JENKINS M.D. 1083698138
ELLEN DE VRIES 1902880735
DR. EDWARD STEPHEN KARP M.D. 1306820212
CAMILLE EARLES 1386629830
DR. RICHARD D ALLEN M.D. 1780661462
SHAKUNTLA RITA PURI MD 1871559963
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.