Individual
JENNIFER HARDWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
415 N 26TH ST, LAFAYETTE, IN 47904-2895
(765) 446-6562
Mailing address
415 N 26TH ST, LAFAYETTE, IN 47904-2895
(765) 446-6562
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125-053989
IL
Other
Enumeration date
06/25/2008
Last updated
04/29/2021
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