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Contact Information

JACQUELINE HANNAH
924 BROADMOOR DR
INDIANOLA, MS38751-3608
 Phone: 662-207-9842
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living, Behavioral Disturbances

3104A0630X
 

Adult Day Care

261QA0600X
Indicates primary specialty

NPI Profile & details for JACQUELINE HANNAH · (Female)

NPI # 1528447471
Status Active
Credentials
Entity Individual
Enumeration date 05/26/2015
Last updated 03/09/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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