Individual
JENNIFER HANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1161 BETHEL RD STE.203/204, COLUMBUS, OH 43220-2773
(614) 459-0350
(614) 459-0355
Mailing address
1161 BETHEL RD STE.203/204, COLUMBUS, OH 43220-2773
(614) 459-0350
(614) 459-0355
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.17385-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140147
—
OH
Enumeration date
06/23/2015
Last updated
10/09/2025
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