Individual
JENNIFER LYNN HATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1340
(864) 512-1749
Mailing address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1417
(864) 512-1823
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
214443
SC
367500000X
Certified Registered Nurse Anesthetist
RN331800L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003114855A
—
GA
01
—
039832
MEDICARE GROUP
PA
01
—
30103723
FIRST CHOICE-SELECT HEALTH
SC
05
—
AN2161
—
SC
01
—
NPI # & SSN#
BLUE CHOICE
SC
01
—
NPI # / SSN#
TRICARE
SC
Enumeration date
10/15/2008
Last updated
03/13/2012
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