Individual
JENNIFER MARY HURLBUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, WHNP-BC
Contact information
Practice address
1621 TONGASS AVE STE 207, KETCHIKAN, AK 99901-6072
(907) 220-9447
(907) 220-9884
Mailing address
1621 TONGASS AVE, SUITE 207, KETCHIKAN, AK 99901-6013
(907) 220-9447
(907) 220-9884
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1202
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0178
—
AK
Enumeration date
05/08/2008
Last updated
09/25/2013
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