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NPI Code Detail

MEDICARE: MS. ANGELA C HAMMOND WHNP, APN, MSN

MEDICARE: MS. ANGELA C HAMMOND WHNP, APN, MSN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner5606TN
2363LW0102XWomen's Health Nurse Practitioner5606TN

General Provider Information

NPI Number : 1326046707
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANGELA C HAMMOND WHNP, APN, MSN
Provider Business Mailing Address
First Line : 3810 WINCHESTER RD
Second Line : SOUTHEAST MENTAL HEALTH CENTER
City : MEMPHIS
State : TN
Zip : 38118-6045
Country : US
Telephone Number : 901-369-1420
Fax Number : 901-369-1433
Provider Business Practice Location Address
First Line : 2579 DOUGLASS AVE
Second Line : SOUTHEAST MENTAL HEALTH CENTER
City : MEMPHIS
State : TN
Zip : 38114-2532
Country : US
Telephone Number : 901-369-1480
Fax Number : 901-312-7572
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2005
Last Update Date : 10/02/2008

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