MEDICARE: MS. JENNIFER LANDRETH HUNT AGPCNP

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	363LA2200X	Adult Health Nurse Practitioner	105272	AK
2	363L00000X	Nurse Practitioner	105272	AK

General Provider Information

NPI Number	:	1811348824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER LANDRETH HUNT AGPCNP

Provider Business Mailing Address
First Line	:	3340 PROVIDENCE DRIVE
Second Line	:	SUITE A-466
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-0001
Country	:	US
Telephone Number	:	907-263-2200
Fax Number	:	907-276-0366

Provider Business Practice Location Address
First Line	:	2421 E TUDOR RD STE 103
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99507-1166
Country	:	US
Telephone Number	:	907-770-5864
Fax Number	:	907-770-5868

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

Provider Enumeration Date	:	06/30/2016
Last Update Date	:	12/11/2025

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