Healthcare Provider Details

I. General information

NPI: 1699688044
Provider Name (Legal Business Name): ABIGAIL JANE HAMME
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 BROADWAY
HANOVER PA
17331-2503
US

IV. Provider business mailing address

3921 GREEN VALLEY RD
SEVEN VALLEYS PA
17360-8606
US

V. Phone/Fax

Practice location:
  • Phone: 717-632-3911
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA068131
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: