Provider Demographics
NPI:1477246031
Name:LLOYD, HANNAH ALEXANDRA (PA-C)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:ALEXANDRA
Last Name:LLOYD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2090 RURAL PLAINS CIR APT 105
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-4121
Mailing Address - Country:US
Mailing Address - Phone:479-366-4990
Mailing Address - Fax:
Practice Address - Street 1:200 DOVER ST
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37160-2790
Practice Address - Country:US
Practice Address - Phone:619-435-6165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5535363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant