Individual
HANNAH JENNISON PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-3238
Mailing address
702 ASH ST UNIT 701, SAN DIEGO, CA 92101-3282
(201) 572-8664
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN649435
PA
363L00000X
Nurse Practitioner
0024179677
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024179677
VA
Other
Enumeration date
05/21/2020
Last updated
05/23/2023
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