Individual provider · Type 1 NPI

Jennifer Lee Hanley, PA-C

Surgical Physician Assistant · San Diego, CA

NPI number 1003065897 Active

Practice location

6655 Alvarado Rd
San Diego, CA 92120-5208

Mailing address

6450 Topmast Dr
Carlsbad, CA 92011-1252

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X19927 (CA)
Medical Physician Assistant 363AM0700XPA19927 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1003065897

Jennifer Lee Hanley, PA-C's National Provider Identifier is 1003065897, issued on Sep 16, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in San Diego, CA. The record was last updated on Nov 30, 2021.