MEDICARE: NICHOLAS JAMES HAMMOND A.R.N.P.

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
1	363L00000X	Nurse Practitioner	ARNP3079552	FL

General Provider Information

NPI Number	:	1588649800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS JAMES HAMMOND A.R.N.P.

Provider Business Mailing Address
First Line	:	9365 US HIGHWAY 19 N
Second Line	:	SUITE E
City	:	PINELLAS PARK
State	:	FL
Zip	:	33782-5400
Country	:	US
Telephone Number	:	727-577-0285
Fax Number	:	727-577-3870

Provider Business Practice Location Address
First Line	:	9365 US HIGHWAY 19 N
Second Line	:	SUITE E
City	:	PINELLAS PARK
State	:	FL
Zip	:	33782-5400
Country	:	US
Telephone Number	:	727-577-0285
Fax Number	:	727-577-3870

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2005
Last Update Date	:	03/21/2017

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