MRS. JENNA MAE HANSON PA-C NPI 1003476276

NPI Information

NPI: 1003476276
Provider Name: MRS. JENNA MAE HANSON, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS

PECOS Registration: Yes

Address:
1715 DOUSMAN ST
GREEN BAY, WI
ZIP 54303
Phone: (920) 496-4770
Get Directions

MRS. Jenna Mae Hanson, PA-C is a medical physician assistant in Green Bay, WI with 8 years of experience. MRS. Jenna Mae Hanson, PA-C NPI is 1003476276. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

1715 DOUSMAN ST
GREEN BAY, WI
ZIP 54303-211
Phone: (920) 496-4770

The NPI 1003476276 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/19/2019 and was last updated on 6/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	4705-23	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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