Individual
JENNIFER J HAMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, DO
Contact information
Practice address
11725 ILLINOIS ST, CARMEL, IN 46032-3008
(317) 688-3700
(317) 962-1449
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
02005738A
IN
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
02005738A
IN
207VG0400X
Gynecology Physician
11016877A
IN
225100000X
Physical Therapist
070014515
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00001301030
ANTHEM PTAN
IN
05
—
300030156
—
IN
Enumeration date
04/19/2007
Last updated
10/30/2025
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