| Doctor Name: | JEAN HA |
| NPI Number: | 1235302902 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 175234 |
| Business Practice Address: | 1650 Cochrane Cir Building 2059, Attn:mcxe-pmd-phn-ha Ft Carson, CO - 809134603 |
| Business Phone Number: | 7195240727 |
| Business Fax Number: | |
| Mailing Address: | 1650 Cochrane Cir, Building 2059, Attn:mcxe-pmd-phn-ha FT CARSON |
| State: | CO |
| Postal Code: | 809134603 |
| Phone Number: | 7195240727 |
| Fax Number: | |
| NPI Enumeration Date: | 04/02/2008 |
| NPI Last Update Date: | 04/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 175234 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |