Provider Demographics
NPI:1225384431
Name:ACKER, TAMMY (PMH-NP)
Entity Type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:
Last Name:ACKER
Suffix:
Gender:F
Credentials:PMH-NP
Other - Prefix:MISS
Other - First Name:TAMMY
Other - Middle Name:
Other - Last Name:HOORY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMH-NP
Mailing Address - Street 1:6501 N CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21204-6819
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1931 GREENSPRING DRIVE
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093
Practice Address - Country:US
Practice Address - Phone:410-453-9553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-25
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR188521363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health