Individual
DR. JENNIFER A. HANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP PMH/FNP-BC
Contact information
Practice address
309 DOGWOOD LNDG, VASS, NC 28394
(910) 992-8934
Mailing address
309 DOGWOOD LNDG, VASS, NC 28394-9202
(910) 992-8934
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APN1184
NC
363LF0000X
Family Nurse Practitioner
APN11884
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
154189
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201498
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6113100
—
NC
Enumeration date
08/30/2006
Last updated
03/07/2023
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