Healthcare Provider Details

I. General information

NPI: 1053583583
Provider Name (Legal Business Name): TAMMY JEANETTE HESS ARNP/CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2008
Last Update Date: 06/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7472 DOCS GROVE CIR
ORLANDO FL
32819-8010
US

IV. Provider business mailing address

235 N WESTMONTE DR
ALTAMONTE SPRINGS FL
32714-3345
US

V. Phone/Fax

Practice location:
  • Phone: 407-381-7336
  • Fax: 407-351-6872
Mailing address:
  • Phone: 407-262-5710
  • Fax: 407-262-5796

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number9291537
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: