Individual
MRS. JENNIFER P HAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
5231 HICKORY PARK DR STE D, GLEN ALLEN, VA 23059-2619
(804) 334-3802
(804) 302-6501
Mailing address
4990 SADLER PL # 3557, GLEN ALLEN, VA 23060-6122
(804) 334-3802
(804) 302-6501
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0001210613
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
0001210613
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024174296
MEDICARE
VA
05
—
30016087300002
—
VA
Enumeration date
11/22/2016
Last updated
04/07/2025
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