Individual provider · Type 1 NPI

Jacqueline Fanchon Hanley

Family Nurse Practitioner · Petaluma, CA

NPI number 1982483152 Active

Practice location

1179 N Mcdowell Blvd
Petaluma, CA 94954-6559

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95027396 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1982483152

Jacqueline Fanchon Hanley's National Provider Identifier is 1982483152, issued on Sep 26, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Petaluma, CA. The record was last updated on Sep 28, 2023.