Provider Demographics
NPI:1669289948
Name:HAMM, MONICA (FNP)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:HAMM
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 RIDGECREST AVE SW
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-3364
Mailing Address - Country:US
Mailing Address - Phone:803-507-1121
Mailing Address - Fax:803-514-5070
Practice Address - Street 1:1615 RIDGECREST AVE SW
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-3364
Practice Address - Country:US
Practice Address - Phone:803-507-1121
Practice Address - Fax:803-514-5070
Is Sole Proprietor?:No
Enumeration Date:2024-12-11
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGAA-NP002985363LF0000X
SC29773A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily