Provider Demographics
NPI:1588649800
Name:HAMMOND, NICHOLAS JAMES (ARNP)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:JAMES
Last Name:HAMMOND
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9365 US HIGHWAY 19 N
Mailing Address - Street 2:SUITE E
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33782-5400
Mailing Address - Country:US
Mailing Address - Phone:727-577-0285
Mailing Address - Fax:727-577-3870
Practice Address - Street 1:9365 US HIGHWAY 19 N
Practice Address - Street 2:SUITE E
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33782-5400
Practice Address - Country:US
Practice Address - Phone:727-577-0285
Practice Address - Fax:727-577-3870
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-09
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3079552363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP91956Medicare UPIN