Doctor Name: | JENNY HANSHAW |
NPI Number: | 1033586722 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 111892 |
Business Practice Address: | 4800 Hospital Pkwy Beatrice, NE - 683106906 |
Business Phone Number: | 4022236518 |
Business Fax Number: | 4022236565 |
Mailing Address: | 4800 Hospital Pkwy, BEATRICE |
State: | NE |
Postal Code: | 683106906 |
Phone Number: | 4022236518 |
Fax Number: | 4022236565 |
NPI Enumeration Date: | 08/28/2015 |
NPI Last Update Date: | 08/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 111892 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |