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

Miss. Jacqueline Fanchon Hanley

Individual provider Family Nurse Practitioner · NPI 1982483152

Miss. Jacqueline Fanchon Hanley is a Family Nurse Practitioner in Petaluma, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

1179 N McDowell Blvd
Petaluma, CA 94954-6559
Phone: (707) 559-7500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95027396 (CA)

Record details

NPI number1982483152
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 26, 2023
Last updated in NPPESSeptember 28, 2023
Certification dateSeptember 28, 2023

Other providers in Petaluma