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NPI Code Detail

MEDICARE: MS. TERESA JEANNE HAMILL NURSE PRACTITIONER

MEDICARE: MS. TERESA JEANNE HAMILL NURSE PRACTITIONER
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
1363LF0000XFamily Nurse PractitionerR654302MS

General Provider Information

NPI Number : 1487766978
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TERESA JEANNE HAMILL NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 305 WHITE DR
Second Line :
City : STARKVILLE
State : MS
Zip : 39759-2638
Country : US
Telephone Number : 662-324-7941
Fax Number :
Provider Business Practice Location Address
First Line : 1100 COLLEGE ST
Second Line : MUW-330
City : COLUMBUS
State : MS
Zip : 39701-5800
Country : US
Telephone Number : 662-329-7289
Fax Number : 662-241-7486
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 07/20/2022

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