| Doctor Name: | JENANETA S. HAMPTON |
| NPI Number: | 1396817516 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | 23727.0840 |
| Business Practice Address: | 29 Black Coal Dr Fort Washakie, WY - 82514 |
| Business Phone Number: | 3073327300 |
| Business Fax Number: | 3073327464 |
| Mailing Address: | Po Box 128, FORT WASHAKIE |
| State: | WY |
| Postal Code: | 825140128 |
| Phone Number: | 3073327300 |
| Fax Number: | 3073327464 |
| NPI Enumeration Date: | 11/14/2006 |
| NPI Last Update Date: | 11/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 23727.0840 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |