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NPI Code Detail

MEDICARE: HANNAH JEAN CARLIN PA-C

MEDICARE: HANNAH JEAN CARLIN PA-C
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
1363A00000XPhysician Assistant1246120MN

General Provider Information

NPI Number : 1881559151
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH JEAN CARLIN PA-C
Provider Business Mailing Address
First Line : 720 WASHINGTON AVE SE STE 200
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55414-2924
Country : US
Telephone Number : 612-672-7422
Fax Number :
Provider Business Practice Location Address
First Line : 2450 RIVERSIDE AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55454-1450
Country : US
Telephone Number : 612-273-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2025
Last Update Date : 01/15/2026

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Directions to “ HANNAH JEAN CARLIN PA-C” Practice Location

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