Individual
MS. JENNA LISA HANSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
8200 CENTRAL AVE SE, ALBUQUERQUE, NM 87108
(505) 272-5885
(505) 272-5888
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4375
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2004-0051
NM
Other
Enumeration date
02/08/2006
Last updated
06/08/2023
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