Provider Demographics
NPI:1215009675
Name:HANSON, ALLYSON JORDAN (RNFA)
Entity Type:Individual
Prefix:
First Name:ALLYSON
Middle Name:JORDAN
Last Name:HANSON
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 WINDING HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-2215
Mailing Address - Country:US
Mailing Address - Phone:972-393-7690
Mailing Address - Fax:
Practice Address - Street 1:801A W RANDOL MILL RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-2565
Practice Address - Country:US
Practice Address - Phone:817-275-3309
Practice Address - Fax:817-265-0071
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX554839163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant