Provider Demographics
NPI:1790063204
Name:KITTS, HANNAH E (FNP-C)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:E
Last Name:KITTS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:731 E. MAIN STREET
Mailing Address - Street 2:SUITE 4
Mailing Address - City:JACKSON
Mailing Address - State:OH
Mailing Address - Zip Code:45640
Mailing Address - Country:US
Mailing Address - Phone:740-577-3527
Mailing Address - Fax:740-577-3009
Practice Address - Street 1:731 E MAIN ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:OH
Practice Address - Zip Code:45640-2100
Practice Address - Country:US
Practice Address - Phone:740-577-3527
Practice Address - Fax:740-577-3009
Is Sole Proprietor?:No
Enumeration Date:2011-08-01
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA. 12470-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0052071Medicaid
WV3810020980Medicaid
OH000000440450OtherOH MEDICAID UNISON
OHH019310Medicare PIN