| Doctor Name: | JENNIFER L VAN HORN |
| NPI Number: | 1023386919 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AOCNS |
| License Number: | 29968.1138 |
| Business Practice Address: | 310 E 24th St Cheyenne, WY - 820013126 |
| Business Phone Number: | 3076349311 |
| Business Fax Number: | 3076345627 |
| Mailing Address: | Po Box 20970, CHEYENNE |
| State: | WY |
| Postal Code: | 820037020 |
| Phone Number: | 3076349311 |
| Fax Number: | 3076345627 |
| NPI Enumeration Date: | 12/06/2011 |
| NPI Last Update Date: | 01/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SX0200X |
| License Number: | 29968.1138 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Oncology |
| Taxonomy Definition: | |