NPI 1669891099

Jacquelin Foss Hardenbrook, MD

Practitioner Pediatrics Physician Jackson, WY

Practice location

Address: 555 E Broadway Ave STE 202, Jackson, WY 83001-8640
Phone: (307) 733-6520
Fax: (307) 733-3216
Mailing address: PO Box 4182, Jackson, WY 83001-4182

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 11023A (WY)

Other Pediatrics providers in Wyoming →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Wyoming →

Registry record

NPI: 1669891099
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Apr 2014
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.