Jason R Hannibal, PA-C
Physician Assistant in Camp Lejeune, North Carolina
1043811201- Practice location
- 100 Brewster Blvd, Camp Lejeune, NC 28547-2575
- Phone
- 910-450-4357
- Fax
- —
- Last updated
- December 17, 2025
Jason Robert Hannibal is a Physician Assistant based in Camp Lejeune, NC. Jason Robert Hannibal practices in Camp Lejeune, NC and has the professional credentials of PA-C. The NPI Number for Jason Robert Hannibal is 1043811201 and holds a License No. 7250 (CT). The current practice location address for Jason Robert Hannibal is 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 and can be reached out via phone at 910-450-4357.
Provider Profile Details
- NPI Number
- 1043811201
- Provider Name
- Jason Robert Hannibal
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 100 Brewster Blvd, Camp Lejeune, NC 28547-2575
- Phone Number
- 910-450-4357
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 4, 2020
- Last Update Date
- December 17, 2025
- Certification Date
- December 17, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Brewster Blvd
Camp Lejeune, NC 28547-2575 - City
- Camp Lejeune
- State
- North Carolina
- Zip
- 28547-2575
- Phone Number
- 910-450-4357
Provider Business Mailing Address Details
- Address
- 100 Brewster Blvd
Camp Lejeune, NC 28547-2575 - City
- Camp Lejeune
- State
- NC
- Zip
- 28547-2575
- Phone Number
- 910-450-4357
License Information
- License Number (1)
- 7250
- License State (1)
- CT
- Taxonomy (1)
- Physician Assistant · 363A00000X · Primary
- License Number (2)
- 60480
- License State (2)
- CA
- Taxonomy (2)
- Physician Assistant · 363A00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Camp Lejeune, NC
View all Physician Assistants in Camp Lejeune →Frequently Asked Questions
What is the NPI number of Jason R Hannibal, PA-C?
The NPI number of Jason R Hannibal, PA-C is 1043811201. It was assigned on November 4, 2020 and is currently active in the NPPES registry.
What is the specialty of Jason R Hannibal, PA-C?
Jason R Hannibal, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 7250.
Where does Jason R Hannibal, PA-C practice?
The practice location is 100 Brewster Blvd, Camp Lejeune, NC 28547-2575. The office can be reached at 910-450-4357 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043811201 directly on the NPPES registry website.