Provider Demographics
NPI:1952541914
Name:HAMMONS, DEBORAH JEAN (RN WCC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:JEAN
Last Name:HAMMONS
Suffix:
Gender:F
Credentials:RN WCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 MAIN ST
Mailing Address - Street 2:PO BOX 362
Mailing Address - City:BRINKHAVEN
Mailing Address - State:OH
Mailing Address - Zip Code:43006
Mailing Address - Country:US
Mailing Address - Phone:740-507-4704
Mailing Address - Fax:
Practice Address - Street 1:1558 COSHOCTON AVE
Practice Address - Street 2:PMB 111
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-5416
Practice Address - Country:US
Practice Address - Phone:740-507-4704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 239981163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0000XNursing Service ProvidersRegistered NurseWound Care