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NPI Code Detail

MEDICARE: DR. JENNIFER HURST AUD AUDIOLOGIST

MEDICARE:  DR. JENNIFER  HURST  AUD AUDIOLOGIST
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
1231H00000XAudiologistAUD3121NM
2237600000XAudiologist-Hearing Aid FitterAUD3121NM
3237600000XAudiologist-Hearing Aid FitterAUD.0000905CO
4231H00000XAudiologistAUD.0000905CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366502387
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER HURST AUD AUDIOLOGIST
Provider Business Mailing Address
First Line : 2343 EAGLE DR UNIT A
Second Line :
City : PAGOSA SPRINGS
State : CO
Zip : 81147-9058
Country : US
Telephone Number : 970-444-2124
Fax Number :
Provider Business Practice Location Address
First Line : 2343 EAGLE DR UNIT A
Second Line :
City : PAGOSA SPRINGS
State : CO
Zip : 81147-9058
Country : US
Telephone Number : 970-444-2124
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2006
Last Update Date : 04/28/2023

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Directions to “ DR. JENNIFER HURST AUD AUDIOLOGIST” Practice Location

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