Individual
MRS. JENNIFER A HANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2200 W EAU GALLIE BLVD STE 202B, MELBOURNE, FL 32935-3166
(321) 254-7717
(321) 255-2361
Mailing address
PO BOX 361095, MELBOURNE, FL 32936-1095
(321) 254-7717
(321) 255-2361
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9100969
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290574400
—
FL
01
—
9287537
AETNA PIN
FL
01
—
Y04UH
FLORIDA BLUE BCBS#
FL
Enumeration date
05/08/2006
Last updated
06/24/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us