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MR. JACK BERNARD HANNON
NPI 1447104005
Student in an Organized Health Care Education/Training Program in Stafford, VA

Active since February 23, 2026
52 VAN HORN LN, STAFFORD, VA 22556(540) 779-4875 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jack Bernard Hannon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JACK BERNARD HANNON (NPI 1447104005) is an individual student in an organized health care education/training program in Stafford, Virginia and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1447104005
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. JACK BERNARD HANNON
Location Address52 VAN HORN LNStafford, VA 22556-1218
Mailing Address52 Van Horn LnStafford, VA 22556-1218 · (540) 779-4875
Phone(540) 779-4875
Sole ProprietorYes
Enumeration DateFebruary 23, 2026
NPPES CertifiedFebruary 22, 2026
✔ NPI 1447104005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
52 VAN HORN LN, Stafford, VA 22556
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Hannon's NPI number?

The NPI number for Jack Hannon is 1447104005. It was assigned to this individual provider in the NPPES registry on February 23, 2026.

Where is Jack Hannon located?

Jack Hannon practices at 52 Van Horn Ln, Stafford, VA 22556. The listed phone number is (540) 779-4875.

What is Jack Hannon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jack Hannon was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.