JENNIFER HATHORN IDD WAIVER SERVICES
NPI 1356066948
Day Training/Habilitation Specialist in Laurel, MS

Active since October 06, 2022
1925 ELLISVILLE BLVD, LAUREL, MS 39440(601) 651-2923 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Hathorn Idd Waiver Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER HATHORN IDD WAIVER SERVICES (NPI 1356066948) is an individual day training/habilitation specialist in Laurel, Mississippi and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1356066948
Entity TypeIndividualFemale
Primary Taxonomy373H00000X
Provider Legal NameJENNIFER HATHORNCredential: IDD WAIVER SERVICES
Location Address1925 ELLISVILLE BLVDLaurel, MS 39440-5426
Mailing AddressPo Box 18679Hattiesburg, MS 39404-8679 · (601) 705-1901
Sole ProprietorNo
Enumeration DateOctober 6, 2022
NPPES CertifiedOctober 6, 2022
NPI 1356066948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
1925 ELLISVILLE BLVD, Laurel, MS 39440

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Day Training/Habilitation Specialist
1925 ELLISVILLE BLVD
LAUREL, MS 39440
Licensed Practical Nurse
1925 ELLISVILLE BLVD
LAUREL, MS 39440
Day Training/Habilitation Specialist
1925 ELLISVILLE BLVD
LAUREL, MS 39440
Day Training/Habilitation Specialist
1925 ELLISVILLE BLVD
LAUREL, MS 39440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Hathorn's NPI number?

The NPI number for Jennifer Hathorn is 1356066948. It was assigned to this individual provider in the NPPES registry on October 6, 2022.

Where is Jennifer Hathorn located?

Jennifer Hathorn practices at 1925 Ellisville Blvd, Laurel, MS 39440. The listed phone number is (601) 651-2923.

What is Jennifer Hathorn's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Hathorn was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.