Healthcare Provider Details

I. General information

NPI: 1336584689
Provider Name (Legal Business Name): MISS JENNIFER LEE HAINJE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2013
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 S SHERIDAN BLVD
DENVER CO
80227-5541
US

IV. Provider business mailing address

3100 S SHERIDAN BLVD
DENVER CO
80227-5541
US

V. Phone/Fax

Practice location:
  • Phone: 303-937-4404
  • Fax: 303-937-4431
Mailing address:
  • Phone: 303-937-4404
  • Fax: 303-937-4431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number16177
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: