| Jennifer L Hambright | |
|
158 Church St. E Yanceyville NC 27379 | |
| (336) 524-5623 | |
| (336) 458-4707 |
| Full Name | Jennifer L Hambright |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 158 Church St. E, Yanceyville, North Carolina |
| Authorized Official Name and Position | Jennifer Lynn Hambright (OWNER) |
| Authorized Official Contact | 3365245623 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer L Hambright Po Box 173 Yanceyville NC 27379-0173 Ph: (336) 524-5623 | Jennifer L Hambright 158 Church St. E Yanceyville NC 27379 Ph: (336) 524-5623 |
| NPI Number | 1295399079 |
|---|---|
| Provider Enumeration Date | 04/26/2019 |
| Last Update Date | 06/22/2022 |
| Certification Date | 06/22/2022 |
| Medicare PECOS PAC ID | 9931592383 |
|---|---|
| Medicare Enrollment ID | O20220207001296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295399079 | NPI | - | NPPES |
| Provider Name | Jennifer Lynn Hambright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871044412 PECOS PAC ID: 8628315702 Enrollment ID: I20190128001925 |
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