Provider Demographics
NPI:1447484373
Name:HUNT, JENNIFER (CRNA)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:
Last Name:HUNT
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4325 CLOVELLY DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-8553
Mailing Address - Country:US
Mailing Address - Phone:336-681-8307
Mailing Address - Fax:
Practice Address - Street 1:4325 CLOVELLY DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-8553
Practice Address - Country:US
Practice Address - Phone:336-681-8307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-06
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC171370367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered