Individual
JENNIFER LYNN HATERIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
901 W CROCKETT ST, FLOYDADA, TX 79235-3609
(806) 402-4033
(806) 402-4036
Mailing address
1806 QUINCY ST, PLAINVIEW, TX 79072-4206
(806) 213-9560
(806) 213-9561
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP124606
TX
363LF0000X
Family Nurse Practitioner
755706
TX
Other
Enumeration date
10/24/2013
Last updated
12/02/2021
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