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NPI Code Detail

MEDICARE: JEREMY R HUNT CRNP

MEDICARE:   JEREMY R HUNT  CRNP
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
1363L00000XNurse Practitioner92785WV
2363LF0000XFamily Nurse PractitionerRN535363PA
3363LF0000XFamily Nurse PractitionerSP010011PA
4363L00000XNurse PractitionerR195446MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SP010011OTHERPANURSE PRACTIONER ID#
2RN535363OTHERPACRNP LICENSE NUMBER
3R195446OTHERMDCRNP-NURSE PRACTITIONER
492785OTHERWVCRNP-NURSE PRACTITIONER

General Provider Information

NPI Number : 1144465600
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEREMY R HUNT CRNP
Provider Business Mailing Address
First Line : 225 S CENTER AVE
Second Line :
City : SOMERSET
State : PA
Zip : 15501-2033
Country : US
Telephone Number : 814-443-5183
Fax Number :
Provider Business Practice Location Address
First Line : 1050 W INDUSTRIAL BLVD STE 17
Second Line :
City : CUMBERLAND
State : MD
Zip : 21502-4331
Country : US
Telephone Number : 240-964-9300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2008
Last Update Date : 09/24/2019

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Directions to “ JEREMY R HUNT CRNP” Practice Location

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