NPI 1003065897

Jennifer Lee Hanley, PAC

Practitioner Surgical Physician Assistant San Diego, CA

Practice location

Address: 6655 Alvarado Rd, San Diego, CA 92120-5208
Phone: (949) 632-5442
Mailing address: 6450 Topmast Dr, Carlsbad, CA 92011-1252

Registered specialties (2)

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 19927 (CA)

Other Physician Assistant providers in California →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA19927 (CA)

Registry record

NPI: 1003065897
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Sep 2008
Record last updated: 30 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.