Provider Demographics
NPI:1497411722
Name:HAMMETT, CAROLE (APRN)
Entity Type:Individual
Prefix:
First Name:CAROLE
Middle Name:
Last Name:HAMMETT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 E MATTHEWS AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-3101
Mailing Address - Country:US
Mailing Address - Phone:870-351-6531
Mailing Address - Fax:870-207-0533
Practice Address - Street 1:505 E MATTHEWS AVE STE 201
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-3101
Practice Address - Country:US
Practice Address - Phone:870-351-6531
Practice Address - Fax:870-207-0533
Is Sole Proprietor?:No
Enumeration Date:2021-11-10
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR125171363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health