Provider Demographics
NPI:1396524955
Name:HAMRICK, JAMES A (DNP, APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:HAMRICK
Suffix:
Gender:M
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1417 SOURGUM LN
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47905-7755
Mailing Address - Country:US
Mailing Address - Phone:352-454-2196
Mailing Address - Fax:
Practice Address - Street 1:1417 SOURGUM LN
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47905-7755
Practice Address - Country:US
Practice Address - Phone:352-454-2196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71015818A207Q00000X
IN28257002A163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical