Individual provider · Type 1 NPI

Becky Jo Hanna, PA-C

Medical Physician Assistant · Springfield, IL

NPI number 1477530186 Active

Practice location

520 N 4th St
Springfield, IL 62702-5238

Call (217) 757-8100 Map

Fax (217) 757-8161

Mailing address

PO Box 19670
Springfield, IL 62794-9670

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X085-001617 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1477530186

Becky Jo Hanna, PA-C's National Provider Identifier is 1477530186, issued on Dec 23, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Springfield, IL. The record was last updated on Jun 25, 2009.