Provider Demographics
NPI:1730773862
Name:STREET, HANNAH ALEXANDER (PMHNP-BC, APRN, RN)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:ALEXANDER
Last Name:STREET
Suffix:
Gender:F
Credentials:PMHNP-BC, APRN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:1401 HECTARE CT
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-6476
Mailing Address - Country:US
Mailing Address - Phone:731-694-5452
Mailing Address - Fax:
Practice Address - Street 1:1015 HANSON CT STE 3
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-2750
Practice Address - Country:US
Practice Address - Phone:615-320-1155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-01
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN290832084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry