Individual
DR. JENNIFER LAUREN HANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
18100 NE UNION HILL RD FL 2, REDMOND, WA 98052-3330
(425) 881-5437
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60217127
WA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP60653184
WA
Other
Enumeration date
07/12/2016
Last updated
07/13/2021
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