Jennifer Carissa Hanowell
Child Neurologist
1 Essex Center Dr 4th Floor
Peabody
, Massachusetts 01960-2901
Jennifer Carissa Hanowell
Child Neurologist
1 Essex Center Dr 4th Floor
Peabody
, Massachusetts 01960-2901
(978) 538-3610
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About
Features
Specialties
- Child Neurologist
Languages spoken
- English
Location
First Address
- Jennifer Carissa Hanowell
- 1 Essex Center Drive 4th Floor
- Peabody, MA
- Zip : 01960
- Fax : (978) 538-3610
- Phone : (978) 538-3600
Second Address
- Jennifer Carissa Hanowell
- 1 Essex Center Dr 4th Floor
- Peabody, MA
- Zip : 01960-2901
- Fax : (978) 538-3610
- Phone : (978) 538-3600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0402X | Child Neurologist | 829 | NE |
National Provider Identifier
| NPI | 1164507539 |
|---|---|
| Provider Name | Jennifer Carissa Hanowell |
| First Address | Peabody, MA 01960 |
| Second Address | Peabody, MA 01960-2901 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/10/2006 |
| Last Update Date | 12/12/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 110100179A | (05) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.