Individual
MRS. JENNIFER JOHNSON HAZZARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1606 SAVANNAH RD, LEWES, DE 19958-1656
(410) 749-4154
(410) 860-9583
Mailing address
P.O. BOX 69709, BALTIMORE, MD 21264-9709
(410) 860-4506
(410) 860-8593
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0000566
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982779633
BLUE CROSS BLUE SHIELD OF DELAWARE
—
05
—
1982779633
—
DE
01
—
51-0370286
EASTERN SUSSEX PHYSICIANS CARE
DE
01
—
51-0370286
GREAT-WEST HEALTH CARE
—
01
—
P00472436
RAILROAD MEDICARE
—
Enumeration date
11/21/2006
Last updated
08/15/2025
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