NPI 1003476276

Jenna Mae Hanson, PAC

Practitioner Medical Physician Assistant Green Bay, WI

Practice location

Address: 1715 Dousman St, Green Bay, WI 54303-3211
Phone: (920) 496-4770
Mailing address: 2749 Moose Creek Trl, Suamico, WI 54313-3259

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 4705-23 (WI)

Other Physician Assistant providers in Wisconsin →

Registry record

NPI: 1003476276
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jun 2019
Record last updated: 19 Jun 2019

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.