# JENNIFER LYNN HARDIN

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

## Provider details

- **NPI number:** 1669567137
- **Gender:** F
- **Credential:** P.A.-C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA412 | KY | Yes |
| 363AM0700X | Medical Physician Assistant | PA412 | KY | — |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 05/02/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 37903705 | MEDICAID LAB GRP | KY |
| 01 | — | 4000501 | MEDICARE LAB GRP | KY |
| 05 | — | 95000386 | — | KY |
| 01 | — | CB5773 | RR MEDICARE GRP | GA |
| 01 | — | K032922 | MEDICARE PTAN | KY |
| 01 | — | P00190999 | RR MEDICARE PIN | GA |