Healthcare Provider Details

I. General information

NPI: 1306654538
Provider Name (Legal Business Name): GINGER J HANRAHAN PMHNP-BC, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2024
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2331 CAREY ST
SLIDELL LA
70458-3627
US

IV. Provider business mailing address

106 PALM SWIFT DR
SLIDELL LA
70461-3208
US

V. Phone/Fax

Practice location:
  • Phone: 985-646-6406
  • Fax: 985-646-6460
Mailing address:
  • Phone: 985-640-6492
  • Fax: 985-214-4102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number238559
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: