Provider Demographics
NPI:1184285389
Name:ARN, HANNAH P (DO)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:P
Last Name:ARN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 746638
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-6638
Mailing Address - Country:US
Mailing Address - Phone:904-202-1032
Mailing Address - Fax:904-376-4107
Practice Address - Street 1:769 BLANDING BLVD STE 7
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32065-8700
Practice Address - Country:US
Practice Address - Phone:904-458-4882
Practice Address - Fax:904-390-7456
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-27
Last Update Date:2022-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS17820207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine