Provider Demographics
NPI:1891415097
Name:HAMMONDS, EMILEE DIANNA (NP)
Entity Type:Individual
Prefix:
First Name:EMILEE
Middle Name:DIANNA
Last Name:HAMMONDS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:483 GREYWALLS CT
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-7615
Mailing Address - Country:US
Mailing Address - Phone:910-734-6040
Mailing Address - Fax:
Practice Address - Street 1:483 GREYWALLS CT
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28311-7615
Practice Address - Country:US
Practice Address - Phone:910-734-6040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCF08220872363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily