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NPI Code Detail

MEDICARE: HANNAH FENN FNP-BC

MEDICARE: HANNAH FENN FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner5012347NC

General Provider Information

NPI Number : 1124679204
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH FENN FNP-BC
Provider Business Mailing Address
First Line : 5213 S ALSTON AVE
Second Line :
City : DURHAM
State : NC
Zip : 27713-4430
Country : US
Telephone Number : 919-620-4855
Fax Number : 919-620-4921
Provider Business Practice Location Address
First Line : 1490 WILLIAMSBORO ST
Second Line :
City : OXFORD
State : NC
Zip : 27565-3498
Country : US
Telephone Number : 919-729-5704
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2019
Last Update Date : 03/16/2021

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Directions to “ HANNAH FENN FNP-BC” Practice Location

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