Healthcare Provider Details

I. General information

NPI: 1861013294
Provider Name (Legal Business Name): HANNAH VIRGINIA JARVIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2020
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 19TH ST S
BIRMINGHAM AL
35233-1900
US

IV. Provider business mailing address

800 ROSE ST RM MN-283
LEXINGTON KY
40536-0293
US

V. Phone/Fax

Practice location:
  • Phone: 205-731-9701
  • Fax:
Mailing address:
  • Phone: 859-323-5057
  • Fax: 859-257-6024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number51470
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: