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Miss Jacqueline Fanchon Hanley
Family Nurse Practitioner in Petaluma, California
NPI 1982483152

Jacqueline Fanchon Hanley is a Family Nurse Practitioner based in Petaluma, CA and is specialized in Family. Jacqueline Fanchon Hanley practices in Petaluma, CA. The NPI Number for Jacqueline Fanchon Hanley is 1982483152 and holds a License No. 95027396 (California).

The current practice location address for Jacqueline Fanchon Hanley is 1179 N Mcdowell Blvd, Petaluma, CA and can be reached out via phone at 707-559-7500.

Location: 1179 N Mcdowell Blvd, Petaluma, CA, 94954-6559
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982483152
Provider Name
Jacqueline Fanchon Hanley
Credential
Provider Entity Type
Individual
Gender
Female
Address
1179 N Mcdowell Blvd, Petaluma, CA, 94954-6559
Phone Number
707-559-7500
Fax Number
Provider Enumeration Date
09/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1179 N Mcdowell Blvd
City
Petaluma
State
California
Zip
94954-6559
Phone Number
707-559-7500
Fax Number
person
Provider Business Mailing Address Details
Address
1179 N Mcdowell Blvd
City
Petaluma
State
California
Zip
94954-6559
Phone Number
707-559-7500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95027396 (California)
Definition
Definition to come...
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