Individual
MS. JEAN LOUISE HANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6408
(305) 545-6581
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6408
(305) 545-6581
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1918072
FL
363L00000X
Nurse Practitioner
APRN1918702
FL
363LN0000X
Neonatal Nurse Practitioner
Primary
1918702
FL
Other
Enumeration date
06/12/2008
Last updated
06/07/2021
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