Healthcare Provider Details

I. General information

NPI: 1174247860
Provider Name (Legal Business Name): HANNAH DENHAM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2022
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1527 PROFESSIONAL PKWY
AUBURN AL
36830-2858
US

IV. Provider business mailing address

8920 EXECUTIVE PARK DR STE F100
KNOXVILLE TN
37923-4714
US

V. Phone/Fax

Practice location:
  • Phone: 334-364-3310
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number24175
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: