Healthcare Provider Details

I. General information

NPI: 1891129383
Provider Name (Legal Business Name): JACINDA LEIGH HOVER D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2013
Last Update Date: 02/11/2020
Certification Date: 02/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 LINDSLEY DRIVE 201
MORRISTOWN NJ
07960-4455
US

IV. Provider business mailing address

25 LINDSLEY DR STE 201
MORRISTOWN NJ
07960-4456
US

V. Phone/Fax

Practice location:
  • Phone: 973-828-8010
  • Fax:
Mailing address:
  • Phone: 973-828-8010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX012387-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00710600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: