Provider Demographics
NPI:1144072430
Name:HERRINGTON, HANNAH LEEANN (PA-S)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:LEEANN
Last Name:HERRINGTON
Suffix:
Gender:F
Credentials:PA-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31815 KANIS RD
Mailing Address - Street 2:
Mailing Address - City:PARON
Mailing Address - State:AR
Mailing Address - Zip Code:72122-9643
Mailing Address - Country:US
Mailing Address - Phone:501-813-0213
Mailing Address - Fax:
Practice Address - Street 1:31815 KANIS RD
Practice Address - Street 2:
Practice Address - City:PARON
Practice Address - State:AR
Practice Address - Zip Code:72122-9643
Practice Address - Country:US
Practice Address - Phone:501-813-0213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant