| Doctor Name: | JENNIFER LYNN HANSEN |
| NPI Number: | 1326348848 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APNP |
| License Number: | R1529425 |
| Business Practice Address: | 123 5th Ave Se Spring Grove, MN - 559741318 |
| Business Phone Number: | 5074983302 |
| Business Fax Number: | |
| Mailing Address: | 1836 South Ave, LA CROSSE |
| State: | WI |
| Postal Code: | 546015429 |
| Phone Number: | 6087827300 |
| Fax Number: | |
| NPI Enumeration Date: | 11/01/2010 |
| NPI Last Update Date: | 01/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R1529425 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |