Jessica Anne Hanson
Physical Medicine & Rehabilitation Doctor
3555 S National Ave
Springfield
, Missouri 65807-7310
Jessica Anne Hanson
Physical Medicine & Rehabilitation Doctor
3555 S National Ave
Springfield
, Missouri 65807-7310
(417) 875-3462
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Jessica Anne Hanson
- Po Box 9007
- Springfield, MO
- Zip : 65808-9007
- Phone : (417) 875-3462
Second Address
- Jessica Anne Hanson
- 3555 S National Ave
- Springfield, MO
- Zip : 65807-7310
- Phone : (417) 269-6868
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 2015031754 | MO |
National Provider Identifier
| NPI | 1013203553 |
|---|---|
| Provider Name | Jessica Anne Hanson |
| First Address | Springfield, MO 65808-9007 |
| Second Address | Springfield, MO 65807-7310 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2011 |
| Last Update Date | 27/12/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1013203553 | (05) | MO |
| 200025615 | (05) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.