Individual
JONATHAN HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
2505 US HWY 431, BOAZ, AL 35957
(256) 593-8310
Mailing address
328 BOHANNON RD, BOAZ, AL 35957
(205) 363-0002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-113457
AL
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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