Individual
JENNIFER ANNE HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
100 FLORIDA ST, CHARLESTON, WV 25302-1131
(304) 414-4015
(304) 414-4018
Mailing address
97 GREAT TEAYS BLVD STE 6, SCOTT DEPOT, WV 25560-9816
(304) 757-6999
(304) 201-5019
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
3187
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3187
DOCTOR OF OSTEOPATHY
WV
Enumeration date
11/20/2007
Last updated
03/21/2024
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