Individual
HANNAH W JEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 MERCY LN STE 401, HOT SPRINGS, AR 71913-6441
(501) 623-5220
Mailing address
17825 CULLIPHER LN, LITTLE ROCK, AR 72206-9550
(318) 308-8436
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PT2022-015
AR
Other
Enumeration date
08/11/2020
Last updated
03/01/2022
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