Hanley, Jennifer A
Hanley, Jennifer A is an sole proprietor health care provider with primary practice located at 2200 W Eau Gallie Blvd Ste 202B , Melbourne FL 32935-3166. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Hanley, Jennifer A can be contacted via phone (321) 254-7717.Contact Information
Primary practice address
2200 W Eau Gallie Blvd Ste 202B
Melbourne FL 32935-3166
Phone: (321) 254-7717
Fax: (321) 255-2361
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA9100969 | Florida |
Profile Details
| NPI number | 1477502391 |
|---|---|
| LBN Legal business name | Hanley, Jennifer A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2006 |
| Last updated | Jun 24th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477502391 | NPPES |
| Florida | Other | 9287537 | AETNA PIN |
| Florida | Other | Y04UH | AETNA PIN |
| Florida | MEDICAID | 290574400 | AETNA PIN |
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