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NPI Code Detail

MEDICARE: JENNIFER J HAMNER DPT, DO

MEDICARE: JENNIFER J HAMNER DPT, DO
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
1225100000XPhysical Therapist070014515IL
2207VG0400XGynecology Physician11016877AIN
3207V00000XObstetrics & Gynecology Physician02005738AIN
4207VF0040XUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician02005738AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
200001301030OTHERINANTHEM PTAN

General Provider Information

NPI Number : 1841417110
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER J HAMNER DPT, DO
Provider Business Mailing Address
First Line : 250 N SHADELAND AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11725 ILLINOIS ST
Second Line :
City : CARMEL
State : IN
Zip : 46032-3008
Country : US
Telephone Number : 317-688-3700
Fax Number : 317-962-1449
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2007
Last Update Date : 10/30/2025

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