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NPI Code Detail

MEDICARE: JENNIFER HURLOW GNP, CWOCN

MEDICARE: JENNIFER HURLOW GNP, CWOCN
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
1163WW0000XWound Care Registered Nurse7673TN
2363LG0600XGerontology Nurse Practitioner117080TN
3363L00000XNurse Practitioner7673TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13370186OTHERTNMEDICARE GROUP NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548263296
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER HURLOW GNP, CWOCN
Provider Business Mailing Address
First Line : 6019 WALNUT GROVE RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-2113
Country : US
Telephone Number : 901-226-2584
Fax Number : 901-226-0390
Provider Business Practice Location Address
First Line : 6019 WALNUT GROVE RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-2113
Country : US
Telephone Number : 901-226-2584
Fax Number : 901-226-0390
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 04/11/2025

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