Provider Demographics
NPI:1679013197
Name:HAMMON, FLOYD M III (REGISTERED NURSE)
Entity Type:Individual
Prefix:DR
First Name:FLOYD
Middle Name:M
Last Name:HAMMON
Suffix:III
Gender:M
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2118 E OAK HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93730-5127
Mailing Address - Country:US
Mailing Address - Phone:559-909-3365
Mailing Address - Fax:
Practice Address - Street 1:2118 E OAK HAVEN DR
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93730-5127
Practice Address - Country:US
Practice Address - Phone:559-909-3365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-02
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA594174163W00000X
CA3215364SA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse