Individual provider · Type 1 NPI

Jenna Mae Hanson, PA-C

Medical Physician Assistant · Green Bay, WI

NPI number 1003476276 Active

Practice location

1715 Dousman St
Green Bay, WI 54303-3211

Call (920) 496-4770 Map

Mailing address

2749 Moose Creek Trl
Suamico, WI 54313-3259

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X4705-23 (WI)

Medical Physician Assistant: Definition to come...

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About NPI 1003476276

Jenna Mae Hanson, PA-C's National Provider Identifier is 1003476276, issued on Jun 19, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Green Bay, WI. The record was last updated on Jun 19, 2019.