Individual
MS. JENNIFER LYNN HANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
141 PIEDMONT AVE NE STE D, ATLANTA, GA 30303-2417
(404) 413-1944
(404) 413-1953
Mailing address
141 PIEDMONT AVE NE STE D, ATLANTA, GA 30303-2417
(404) 413-1944
(404) 413-1953
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
20465
CA
363A00000X
Physician Assistant
2274
AZ
363A00000X
Physician Assistant
Primary
7589
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578715421
STUDENT HEALH
GA
Enumeration date
10/22/2008
Last updated
12/06/2021
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