Provider Demographics
NPI:1518521863
Name:HAMMERAND, JAMIE LEE (DNP ARNP)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:LEE
Last Name:HAMMERAND
Suffix:
Gender:F
Credentials:DNP ARNP
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:LEE
Other - Last Name:EMERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:4170 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52002-2638
Mailing Address - Country:US
Mailing Address - Phone:563-495-0940
Mailing Address - Fax:
Practice Address - Street 1:4170 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52002-2638
Practice Address - Country:US
Practice Address - Phone:563-588-8060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-23
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA137649163W00000X
IAA155092363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse