MEDICARE: HANNAH VIRGINIA JARVIS MD

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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	208800000X	Urology Physician	51470	AL

General Provider Information

NPI Number	:	1861013294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH VIRGINIA JARVIS MD

Provider Business Mailing Address
First Line	:	800 ROSE ST RM MN-283
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40536-0293
Country	:	US
Telephone Number	:	859-323-5057
Fax Number	:	859-257-6024

Provider Business Practice Location Address
First Line	:	619 19TH ST S
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35233-1900
Country	:	US
Telephone Number	:	205-731-9701
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2020
Last Update Date	:	05/06/2026

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