Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE HANNAH
Active Sole ProprietorJACQUELINE HANNAH is a 3104A0630X healthcare provider located in INDIANOLA, Mississippi. NPI 1528447471 is currently active in the NPPES registry. Verify at CMS.
3104A0630X · INDIANOLA, MS
Registration Details
- NPI Number
- 1528447471
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 26, 2015 (11.073550531126 yrs)
- Last Updated
- Mar 9, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
924 BROADMOOR DRINDIANOLA, MS, 387513608Browse MS providers · Browse ZIP 38751
- Phone
- 6622079842
- Primary Specialty
-
3104A0630X
3104A0630X
- Additional Specialty
- Adult Day Care Facility
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.