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Individual
JENNA ELIZABETH HAFNER
Active
Individual
JENNA ELIZABETH HAFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA- C, DPT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019274
NY
363AM0700X
Medical Physician Assistant
0110004150
VA
363AM0700X
Medical Physician Assistant
019274-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04313920
—
NY
Enumeration date
01/12/2013
Last updated
12/12/2022
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