Individual
MS. JENNA ELIZABETH HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
80 SEYMOUR ST, HARTFORD HOSPITAL MEDICINE DEPT., HARTFORD, CT 06102-5037
(860) 972-2085
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
(860) 972-2085
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003710
CT
363AM0700X
Medical Physician Assistant
Primary
003710
CT
363AS0400X
Surgical Physician Assistant
003710
CT
Other
Enumeration date
09/01/2016
Last updated
05/14/2024
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