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1194528109 NPI number — JAMIE LYNN HAMMOCK NP

NPI Number: 1194528109
Health Care Provider/Practitioner: JAMIE LYNN HAMMOCK NP

Information about “1194528109” NPI (JAMIE LYNN HAMMOCK NP) exists in 1194528109 in HTML format HTML  |  1194528109 in plain Text format TXT  |  1194528109 in PDF (Portable Document Format) PDF  |  1194528109 in an XML format XML  formats.

NPI Number : 1194528109 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194528109",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HAMMOCK",
    "FirstName": "JAMIE",
    "MiddleName": "LYNN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "140 W 7TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COOKEVILLE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "38501-1726",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "931-783-5582",
    "MailingAddressFaxNumber": "931-526-6760",
    "FirstLinePracticeLocationAddress": "1 MEDICAL CENTER BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COOKEVILLE",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "38501-4294",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "931-783-2497",
    "PracticeLocationAddressFaxNumber": "931-783-5666",
    "EnumerationDate": "03/27/2025",
    "LastUpdateDate": "12/23/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "163WC0200X",
          "TaxonomyName": "Critical Care Medicine Registered Nurse",
          "LicenseNumber": "202188",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "40151",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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