Healthcare Provider Details

I. General information

NPI: 1255260089
Provider Name (Legal Business Name): HANNAH JOY AUGUST RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HANNAH JOY BROUGHER RN

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13207 RAVENNA RD
CHARDON OH
44024-7032
US

IV. Provider business mailing address

13207 RAVENNA RD
CHARDON OH
44024-7032
US

V. Phone/Fax

Practice location:
  • Phone: 440-285-6000
  • Fax:
Mailing address:
  • Phone: 440-285-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.478467
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: