Provider Demographics
NPI:1205191780
Name:HAMMONS, SARAH ELAINE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ELAINE
Last Name:HAMMONS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 WESLEY ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-1740
Mailing Address - Country:US
Mailing Address - Phone:423-502-4792
Mailing Address - Fax:
Practice Address - Street 1:281 WEAVER HILL RD
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-7184
Practice Address - Country:US
Practice Address - Phone:423-502-4792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN16763363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily