Provider Demographics
NPI:1316343791
Name:HECTOR, JENIFER KAREA
Entity type:Individual
Prefix:MS
First Name:JENIFER
Middle Name:KAREA
Last Name:HECTOR
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:JENIFER
Other - Middle Name:KAREA
Other - Last Name:DEARTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:750 HORIZON DR
Mailing Address - Street 2:STE225
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-8709
Mailing Address - Country:US
Mailing Address - Phone:970-683-7107
Mailing Address - Fax:970-683-7167
Practice Address - Street 1:515 28 3/4 RD
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-5016
Practice Address - Country:US
Practice Address - Phone:970-241-6023
Practice Address - Fax:970-242-8330
Is Sole Proprietor?:No
Enumeration Date:2014-11-12
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker