Provider Demographics
NPI:1952854572
Name:POLLARD, HANNAH (NP-C)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:POLLARD
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21178 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:RANBURNE
Mailing Address - State:AL
Mailing Address - Zip Code:36273
Mailing Address - Country:US
Mailing Address - Phone:938-526-0010
Mailing Address - Fax:938-526-0011
Practice Address - Street 1:21178 MAIN STREET
Practice Address - Street 2:
Practice Address - City:RANBURNE
Practice Address - State:AL
Practice Address - Zip Code:36273
Practice Address - Country:US
Practice Address - Phone:938-526-0010
Practice Address - Fax:938-526-0011
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-31
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN218158363L00000X
AL1-196325363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner