Individual provider · Type 1 NPI

Jessica Rose Hanley

Student in an Organized Health Care Education/Training Program · Port Jefferson Station, NY

NPI number 1982543583 Active

Practice location

299 Hallock Ave
Port Jefferson Station, NY 11776-1217

Call (631) 473-4284 Map

Mailing address

2 Johnson St
Commack, NY 11725-2011

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 1982543583

Jessica Rose Hanley's National Provider Identifier is 1982543583, issued on Mar 27, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Mar 27, 2026.