MEDICARE: MS. JENNIFER HANNA FARRIOR MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	170300000X	Genetic Counselor (M.S.)

General Provider Information

NPI Number	:	1326037581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER HANNA FARRIOR MS

Provider Business Mailing Address
First Line	:	1005 VICKIE DR
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27511-5833
Country	:	US
Telephone Number	:	919-469-6620
Fax Number	:	919-960-7745

Provider Business Practice Location Address
First Line	:	431 W FRANKLIN ST
Second Line	:	SUITE 24
City	:	CHAPEL HILL
State	:	NC
Zip	:	27516-2319
Country	:	US
Telephone Number	:	919-960-8118
Fax Number	:	919-960-7745

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	07/08/2007

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