Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER HATHORN, IDD WAIVER SERVICES
ActiveJENNIFER HATHORN, IDD WAIVER SERVICES is a Day Training/Habilitation healthcare provider located in LAUREL, Mississippi. NPI 1356066948 is currently active in the NPPES registry. Verify at CMS.
Day Training/Habilitation · LAUREL, MS
Registration Details
- NPI Number
- 1356066948
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 6, 2022 (3.8188597830011 yrs)
- Last Updated
- Oct 6, 2022
Practice Information
- Address
-
1925 ELLISVILLE BLVDLAUREL, MS, 394405426Browse MS providers · Browse ZIP 39440
- Phone
- 6016512923
- Primary Specialty
-
Day Training/Habilitation
373H00000X
Other Day Training/Habilitation Providers in LAUREL, MS
| Name | Credential | NPI |
|---|---|---|
| STEPHEN ARMOUR | CIDDT | 1538883137 |
| ROSE ABNEY | CIDDT | 1639893209 |
| AMANDA CLARK | — | 1609590181 |
| TESHEA GRIZZLEY | IDD WAIVER SERVICES | 1871218461 |
| MONOLISA KEYES | IDD WAIVER SERVICES | 1922723378 |
| TRINA OWENS | IDD WAIVER SERVICES | 1477279420 |
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.