JENNIFER CARISSA HANOWELL DO NPI 1164507539

NPI Information

Jennifer Carissa Hanowell, DO is a neurology with special qualifications in child neurology psychiatry neurology in Peabody, MA. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Jennifer Carissa Hanowell, DO NPI is 1164507539. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 ESSEX CENTER DR
4TH FLOOR
PEABODY, MA
ZIP 01960-901
Phone: (978) 538-3600
Fax: (978) 538-3610

The NPI 1164507539 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 12/12/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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