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Hannah Hanania

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

PECOS Enrollment

Based on the most recent information from CMS, provider Hannah Hanania is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1285253757
Provider Type
Individual
Full Name
Hanania, Hannah
Credential
APRN

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/14/2020
Last Updated
9/19/2022

Contact Information

Practice Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Mailing Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11017408 Florida
Code 163W00000X	Description Registered Nurse Nursing Service Providers	License RN9487401 Florida
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11017408 Florida

Hannah Hanania

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Torres, Lisa

Kapp, Melissa Diane

Forgan, Anita

Adams, Jeremy C

Spruance, Jami

Wylie, Natasha Subhan

Miranda, Yarlenis

Edwards, Steven

Arntson-Morgan, Kathleen Carol

Pitruzzello, Nancy