Provider Demographics
NPI:1902795974
Name:GAY, HANNAH B
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:B
Last Name:GAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 ROCKWATER BLVD APT 103
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72114-3984
Mailing Address - Country:US
Mailing Address - Phone:479-715-1923
Mailing Address - Fax:
Practice Address - Street 1:1625 ROCKWATER BLVD
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114-3983
Practice Address - Country:US
Practice Address - Phone:479-715-1923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant