Healthcare Provider Details

I. General information

NPI: 1063601227
Provider Name (Legal Business Name): JAMIE L HANNA M. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2007
Last Update Date: 06/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

935 CALHOUN ST
NEW ORLEANS LA
70118-5911
US

IV. Provider business mailing address

1542 TULANE AVE DEPARTMENT OF PSYCHIATRY
NEW ORLEANS LA
70112-2865
US

V. Phone/Fax

Practice location:
  • Phone: 504-896-7220
  • Fax:
Mailing address:
  • Phone: 504-568-6001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number201335
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number201335
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: