JENNIFER LEE HANLEY PA-C NPI 1003065897

NPI Information

  • NPI: 1003065897
  • Provider Name: JENNIFER LEE HANLEY, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6655 ALVARADO RD
    SAN DIEGO, CA
    ZIP 92120
  • Phone: (949) 632-5442

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NPI Details

Jennifer Lee Hanley, PA-C is a surgical physician assistant in San Diego, CA. Jennifer Lee Hanley, PA-C NPI is 1003065897. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6655 ALVARADO RD
SAN DIEGO, CA
ZIP 92120-208
Phone: (949) 632-5442

The NPI 1003065897 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/16/2008 and was last updated on 11/30/2021.

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
1363AS0400XPhysician AssistantSurgical19927CALIFORNIAYes
2363AM0700XPhysician AssistantMedicalPA19927CALIFORNIANo

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: 3/30/2025

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