Healthcare Provider Details

I. General information

NPI: 1366225930
Provider Name (Legal Business Name): JULIE ANNE HAMMOND APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2023
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

256 MCMILLAN RD
DACULA GA
30019-2337
US

IV. Provider business mailing address

2032 DOUBLE SPRINGS PL
MONROE GA
30656-8653
US

V. Phone/Fax

Practice location:
  • Phone: 770-624-2728
  • Fax: 770-353-9819
Mailing address:
  • Phone: 770-864-8357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License NumberRN277912
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN277912
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberRN277912
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: