Provider Demographics
NPI:1679762868
Name:HANKEE, ALISSA M (PA)
Entity type:Individual
Prefix:MRS
First Name:ALISSA
Middle Name:M
Last Name:HANKEE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:ALISSA
Other - Middle Name:M
Other - Last Name:KIRBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:250 N SHADELAND AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-4959
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8402 HARCOURT RD
Practice Address - Street 2:125
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-2074
Practice Address - Country:US
Practice Address - Phone:317-802-3281
Practice Address - Fax:317-802-3972
Is Sole Proprietor?:No
Enumeration Date:2007-10-24
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN10000951A363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000548549OtherANTHEM
IN000000548549OtherANTHEM