Provider Demographics
NPI:1134609985
Name:JONES, HANNAH DAHM (CPNP-PC)
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:DAHM
Last Name:JONES
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:645 HOLYROOD WAY
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30022-5213
Mailing Address - Country:US
Mailing Address - Phone:770-617-6073
Mailing Address - Fax:
Practice Address - Street 1:1100 LAKE HEARN DR STE 100
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1524
Practice Address - Country:US
Practice Address - Phone:404-256-3178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-20
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN239007363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics