Doctor Name: | MRS. JILLIAN MARIE HANGER |
NPI Number: | 1184027005 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NNP-BC |
License Number: | 28164886A |
Business Practice Address: | 1500 S Lake Park Ave Hobart, IN - 463426638 |
Business Phone Number: | 2199420551 |
Business Fax Number: | |
Mailing Address: | 1542 E 800 N, LAKE VILLAGE |
State: | IN |
Postal Code: | 463499384 |
Phone Number: | 2193137453 |
Fax Number: | |
NPI Enumeration Date: | 10/06/2014 |
NPI Last Update Date: | 10/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LN0000X |
License Number: | 28164886A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Neonatal |
Taxonomy Definition: |