Provider Demographics
NPI:1245404292
Name:HAMMOND, L JEANNE (ITDS)
Entity Type:Individual
Prefix:
First Name:L JEANNE
Middle Name:
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:ITDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 NOBLE CIR W
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32211-6942
Mailing Address - Country:US
Mailing Address - Phone:904-234-3461
Mailing Address - Fax:
Practice Address - Street 1:222 NOBLE CIR W
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32211-6942
Practice Address - Country:US
Practice Address - Phone:904-234-3461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-21
Last Update Date:2008-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist