Provider Demographics
NPI:1689376675
Name:ROUNTREE, HANNAH (PA)
Entity Type:Individual
Prefix:MS
First Name:HANNAH
Middle Name:
Last Name:ROUNTREE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 20TH AVE N FL 9
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-5600
Mailing Address - Country:US
Mailing Address - Phone:615-878-2631
Mailing Address - Fax:
Practice Address - Street 1:300 20TH AVE N FL 9
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-5600
Practice Address - Country:US
Practice Address - Phone:615-878-2631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-21
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical