Provider Demographics
NPI:1851872592
Name:HAMMONDS, JESSICA LORAINE (CRNP)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:LORAINE
Last Name:HAMMONDS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5159 CROWLEY DR
Mailing Address - Street 2:
Mailing Address - City:IRONDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35210-2803
Mailing Address - Country:US
Mailing Address - Phone:205-381-1229
Mailing Address - Fax:
Practice Address - Street 1:3412 OAKHAVEN CIR
Practice Address - Street 2:
Practice Address - City:HALEYVILLE
Practice Address - State:AL
Practice Address - Zip Code:35565-6750
Practice Address - Country:US
Practice Address - Phone:205-485-4385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-21
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-145283363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care