Individual provider · Type 1 NPI

Jennifer A. Hanley, PA-C

Surgical Physician Assistant · Melbourne, FL

NPI number 1477502391 Active

Practice location

2200 W Eau Gallie Blvd Ste 202B
Melbourne, FL 32935-3166

Call (321) 254-7717 Map

Fax (321) 255-2361

Mailing address

PO Box 361095
Melbourne, FL 32936-1095

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9100969 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1477502391

Jennifer A. Hanley, PA-C's National Provider Identifier is 1477502391, issued on May 8, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Melbourne, FL. The record was last updated on Jun 24, 2021.