Individual
JENNIFER MARIE HANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
246 S MAIN ST, HUGHESVILLE, PA 17737-1614
(570) 584-5144
(570) 584-4651
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA058226
PA
363A00000X
Physician Assistant
OA003800
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103167360 0001
—
PA
01
—
2O7575
MEDICARE
PA
Enumeration date
06/15/2016
Last updated
02/02/2026
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