Hannah E Banicevich
Community Health Worker in Jackson, CA. Individual provider (NPI-1).
NPI number1487540233
StatusActive
Last updated in NPPESMar 2, 2026
Details
- NPI
- 1487540233
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Hannah E Banicevich
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2025
- Certification date
- Mar 2, 2026
- Last updated
- Mar 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
601 Court St Ste 210Jackson, CA 95642-2163
Phone 209-257-1980 · Fax 209-257-1989
Mailing address
601 Court St Ste 210Jackson, CA 95642-2163
Phone 209-257-1980 · Fax 209-257-1989
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Other Community Health Worker providers in Jackson, CA
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- Juliana Emilia CamposNPI 1487540845
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- Thomas CowgillNPI 1538047592
- Tammy Lynn DevictoriaNPI 1386568954
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All 22 Community Health Worker providers in Jackson · All 394 providers in Jackson
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