Hanson, Jenna Mae
Hanson, Jenna Mae is an individual health care provider with primary practice located at 1715 Dousman St , Green Bay WI 54303-3211. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Hanson, Jenna Mae can be contacted via phone (920) 496-4770.Contact Information
Primary practice address
1715 Dousman St
Green Bay WI 54303-3211
Phone: (920) 496-4770
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 4705-23 | Wisconsin |
Profile Details
| NPI number | 1003476276 |
|---|---|
| LBN Legal business name | Hanson, Jenna Mae |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2019 |
| Last updated | Jun 19th, 2019 - about 5 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.
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