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NPI Code Detail

MEDICARE: ALLISON HANNULA FNP

MEDICARE: ALLISON HANNULA FNP
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 PractitionerHANN-IL5J7NC

General Provider Information

NPI Number : 1679438873
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON HANNULA FNP
Provider Business Mailing Address
First Line : 302 MEDICAL PARK CT
Second Line :
City : MOREHEAD CITY
State : NC
Zip : 28557-4346
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 302 MEDICAL PARK CT
Second Line :
City : MOREHEAD CITY
State : NC
Zip : 28557-4346
Country : US
Telephone Number : 252-247-2013
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2025
Last Update Date : 02/06/2026

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