Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Rose Hanley

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1982543583

Jessica Rose Hanley is a Student in an Organized Health Care Education/Training Program in Port Jefferson Station, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026
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Practice location Address checks out

299 Hallock Ave
Port Jefferson Station, NY 11776-1217
Phone: (631) 473-4284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NY)

Record details

NPI number1982543583
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 27, 2026
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026

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