Provider Demographics
NPI:1144295338
Name:JANN, HOPE CHRISTINE (PA - C)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:CHRISTINE
Last Name:JANN
Suffix:
Gender:F
Credentials:PA - C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 SCHUBERT DR
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-3382
Mailing Address - Country:US
Mailing Address - Phone:610-873-2155
Mailing Address - Fax:610-873-8494
Practice Address - Street 1:102 SCHUBERT DR
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-3382
Practice Address - Country:US
Practice Address - Phone:610-873-2155
Practice Address - Fax:610-873-8494
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOA-000464-L363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAOA-000464-LOtherLICENSE NUMBER
PA47478Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
PAP15801Medicare UPIN