# JENNIFER L HANSLICK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1285809632
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 2009012792 | MO | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | 2009012792 | MO | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | 32635 | OK | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | 49529 | CO | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | MD177451 | OR | — |

## Other

- **Enumeration date:** 04/28/2008
- **Last updated:** 02/26/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200673240A | — | OK |
| 05 | — | 50271768 | — | CO |
