Provider Demographics
NPI:1093461782
Name:HAMILTON, JENNIFER L
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:L
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5707 SUNSHINE PEAK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78244-4202
Mailing Address - Country:US
Mailing Address - Phone:210-316-3208
Mailing Address - Fax:
Practice Address - Street 1:9410 DUGAS DR STE 131B
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245-1869
Practice Address - Country:US
Practice Address - Phone:210-316-3208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula