Provider Demographics
NPI:1164689345
Name:HAMMIL, JOYCE ELLEN (LPN)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:ELLEN
Last Name:HAMMIL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10216 ETHAN DR
Mailing Address - Street 2:
Mailing Address - City:MABELVALE
Mailing Address - State:AR
Mailing Address - Zip Code:72103-8710
Mailing Address - Country:US
Mailing Address - Phone:501-249-2132
Mailing Address - Fax:
Practice Address - Street 1:4601 W 7TH ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5441
Practice Address - Country:US
Practice Address - Phone:501-626-9300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-16
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARL39435164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse