Individual
MRS. JENNIFER OLIVER HINDERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20 DUKE MEDICINE CIR # 3-2, DURHAM, NC 27710-4205
(919) 684-4891
(919) 684-8508
Mailing address
2716 AUGUSTA DR, DURHAM, NC 27707-2804
(813) 857-4684
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11143
NC
363A00000X
Physician Assistant
1586
TN
363AM0700X
Medical Physician Assistant
1586
TN
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588719744
LC GROUP NPI
TN
01
—
1851446017
GROUP NPI
TN
05
—
3665225
—
TN
Enumeration date
04/02/2008
Last updated
02/24/2023
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