Provider Demographics
NPI:1215713920
Name:HORMAN, JENNIFER CHRISTENE
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:CHRISTENE
Last Name:HORMAN
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 1:467 REDWOOD LN
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-7553
Mailing Address - Country:US
Mailing Address - Phone:567-286-0059
Mailing Address - Fax:
Practice Address - Street 1:467 REDWOOD LN
Practice Address - Street 2:
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035-7553
Practice Address - Country:US
Practice Address - Phone:567-286-0059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-07
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No376J00000XNursing Service Related ProvidersHomemaker