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

Mr. Jack Bernard Hannon

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1447104005

Mr. Jack Bernard Hannon is a Student in an Organized Health Care Education/Training Program in Stafford, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2026

Practice location Address checks out

52 Van Horn Ln
Stafford, VA 22556-1218
Phone: (540) 779-4875
Show map & directions

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 (VA)

Record details

NPI number1447104005
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 23, 2026
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 22, 2026

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