Provider Demographics
NPI:1700291911
Name:STRONG, HANNAH ELIZABETH (DO)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:ELIZABETH
Last Name:STRONG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:NUGENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2409 HYDE PARK RD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65109-4732
Mailing Address - Country:US
Mailing Address - Phone:573-635-6217
Mailing Address - Fax:
Practice Address - Street 1:2409 HYDE PARK RD
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65109-4732
Practice Address - Country:US
Practice Address - Phone:573-635-6217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-25
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036144425208000000X
MO2017037077208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics