Provider Demographics
NPI:1386826246
Name:HAMMOND, SANDRA JANET (RN)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:JANET
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3375 LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:BROWNS MILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:08015-3767
Mailing Address - Country:US
Mailing Address - Phone:609-556-4753
Mailing Address - Fax:
Practice Address - Street 1:3375 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:BROWNS MILLS
Practice Address - State:NJ
Practice Address - Zip Code:08015-3767
Practice Address - Country:US
Practice Address - Phone:609-556-4753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO10278300163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse