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NPI Code Detail

MEDICARE: MRS. JENNA CALLAHAM HAHN

MEDICARE: MRS. JENNA CALLAHAM HAHN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner30271SC

General Provider Information

NPI Number : 1629895073
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNA CALLAHAM HAHN
Provider Business Mailing Address
First Line : 1601 GREENE ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29208-4001
Country : US
Telephone Number : 803-777-7412
Fax Number :
Provider Business Practice Location Address
First Line : 1601 GREENE ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29208-4001
Country : US
Telephone Number : 803-777-7412
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2024
Last Update Date : 02/06/2026

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Directions to “ MRS. JENNA CALLAHAM HAHN ” Practice Location

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