Healthcare Provider Details

I. General information

NPI: 1609433267
Provider Name (Legal Business Name): HANNAH PEARCE HORNSBY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS HANNAH PEARCE DICKINSON

II. Dates (important events)

Enumeration Date: 05/20/2019
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 CAPEHART RD
OFFUTT AFB NE
68113-1043
US

IV. Provider business mailing address

2501 CAPEHART RD
OFFUTT AFB NE
68113-1043
US

V. Phone/Fax

Practice location:
  • Phone: 227-340-2232
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number32926
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number32926
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: