Provider Demographics
NPI:1659922615
Name:CARR, HANNAH JOY (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:JOY
Last Name:CARR
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:JOY
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1676 S ELM ST APT D
Mailing Address - Street 2:
Mailing Address - City:WEST CARROLLTON
Mailing Address - State:OH
Mailing Address - Zip Code:45449-3984
Mailing Address - Country:US
Mailing Address - Phone:513-203-6992
Mailing Address - Fax:
Practice Address - Street 1:1391 MAIN ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-1077
Practice Address - Country:US
Practice Address - Phone:513-867-9000
Practice Address - Fax:513-867-9000
Is Sole Proprietor?:No
Enumeration Date:2019-09-21
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.006123RX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant