Provider Demographics
NPI:1699544338
Name:HINEY, JENNIFER KATE
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:KATE
Last Name:HINEY
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 1:5160 N GRANT AVE
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:MI
Mailing Address - Zip Code:48625-9610
Mailing Address - Country:US
Mailing Address - Phone:989-931-0794
Mailing Address - Fax:
Practice Address - Street 1:5160 N GRANT AVE
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:MI
Practice Address - Zip Code:48625-9610
Practice Address - Country:US
Practice Address - Phone:989-931-0794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care