Provider Demographics
NPI:1275702672
Name:HAMPTON, JEFFREY STEVEN (FNP)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:STEVEN
Last Name:HAMPTON
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 S FRONT ST
Mailing Address - Street 2:
Mailing Address - City:HALLS
Mailing Address - State:TN
Mailing Address - Zip Code:38040-1547
Mailing Address - Country:US
Mailing Address - Phone:731-836-5617
Mailing Address - Fax:731-836-5284
Practice Address - Street 1:201 S FRONT ST
Practice Address - Street 2:
Practice Address - City:HALLS
Practice Address - State:TN
Practice Address - Zip Code:38040-1547
Practice Address - Country:US
Practice Address - Phone:731-836-5617
Practice Address - Fax:731-836-5284
Is Sole Proprietor?:No
Enumeration Date:2008-02-29
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13299363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily