Individual
JANA HANNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
659 HOSPITAL RD STE 201, TAPPAHANNOCK, VA 22560-7000
(804) 443-3311
(804) 443-6150
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
(804) 327-3065
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024170349
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06115
GROUP PTAN
VA
Enumeration date
10/14/2012
Last updated
02/01/2024
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