Individual
MS. SELENA ANN HANNIBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
2301 E MICHIGAN AVE STE 101, JACKSON, MI 49202-3765
(517) 783-3434
(517) 782-6446
Mailing address
2301 E MICHIGAN AVE STE 101, JACKSON, MI 49202-3765
(517) 783-3434
(517) 782-6446
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4704224637
MI
Other
Enumeration date
10/05/2017
Last updated
07/21/2022
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