Individual
JESSICA LYNN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1608 S J ST FL 5, TACOMA, WA 98405-4930
(253) 274-7505
(253) 274-7929
Mailing address
1608 S J ST FL 5, TACOMA, WA 98405-4930
(253) 274-7505
(253) 274-7929
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA61503338
WA
363AS0400X
Surgical Physician Assistant
Primary
PA61503338
WA
Other
Enumeration date
06/28/2023
Last updated
10/22/2024
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