Individual
JENNIFER ANNE HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, NBC-HWC
Contact information
Practice address
110 12TH ST N, BIRMINGHAM, AL 35203-1537
(855) 255-2362
Mailing address
110 12TH ST N, BIRMINGHAM, AL 35203-1537
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
3922917
AL
363A00000X
Physician Assistant
PA.1621
AL
363AM0700X
Medical Physician Assistant
PA.1621
AL
Other
Enumeration date
05/28/2020
Last updated
07/01/2024
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