Provider Demographics
NPI:1023650603
Name:HAMMETT, JEFFREY EUGENE (RN)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:EUGENE
Last Name:HAMMETT
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 W PINNACLE PEAK RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-1000
Mailing Address - Country:US
Mailing Address - Phone:623-869-9050
Mailing Address - Fax:623-869-9486
Practice Address - Street 1:2800 W PINNACLE PEAK RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-1000
Practice Address - Country:US
Practice Address - Phone:623-869-9050
Practice Address - Fax:623-869-9486
Is Sole Proprietor?:No
Enumeration Date:2019-10-15
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN076463163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care