Individual provider · Type 1 NPI

Hannah Grace Cruz Kolasinski

Student in an Organized Health Care Education/Training Program · Jackson, TN

NPI number 1679410567 Active

Practice location

700 W Forest Ave Fl 5
Jackson, TN 38301-3937

Call (731) 541-3755 Map

Mailing address

203 Lake Lida Ln
Rochelle, IL 61068-8800

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679410567

Hannah Grace Cruz Kolasinski's National Provider Identifier is 1679410567, issued on Apr 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jackson, TN. The record was last updated on Apr 30, 2026.