HANNAH OLIVIA JAZDZEWSKI MSN AGPCNP NPI 1194441113

NPI Information

  • NPI: 1194441113
  • Provider Name: HANNAH OLIVIA JAZDZEWSKI, MSN, AGPCNP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4001 KRESGE WAY STE 236
    LOUISVILLE, KY
    ZIP 40207
  • Phone: (502) 893-7372

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NPI Details

Hannah Olivia Jazdzewski, MSN, AGPCNP is a gerontology nurse practitioner in Louisville, KY with 4 years of experience. Hannah Olivia Jazdzewski, MSN, AGPCNP NPI is 1194441113. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2022

The provider's business location address is:

4001 KRESGE WAY STE 236
LOUISVILLE, KY
ZIP 40207-640
Phone: (502) 893-7372
Fax: (502) 409-4715

The NPI 1194441113 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 10/12/2022 and was last updated on 9/12/2023.

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
1363LA2200XNurse PractitionerAdult Health3018504KENTUCKYNo
2363LG0600XNurse PractitionerGerontology3018504KENTUCKYYes

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: 11/21/2025

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