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NPI Code Detail

MEDICARE: MS. JENNIFER HARDWICK

MEDICARE: MS. JENNIFER HARDWICK
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
1103K00000XBehavior Analyst0-14-6409OH

General Provider Information

NPI Number : 1073905808
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER HARDWICK
Provider Business Mailing Address
First Line : 21337 DRAKE ROAD UNIT C
Second Line :
City : STRONGSVILLE
State : OH
Zip : 44149-6601
Country : US
Telephone Number : 440-572-1337
Fax Number : 440-572-1887
Provider Business Practice Location Address
First Line : 424 CHURCH ST STE 2000
Second Line :
City : NASHVILLE
State : TN
Zip : 37219-3304
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2015
Last Update Date : 10/10/2025

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