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NPI Code Detail

MEDICARE: JESSICA HAMMES MD

MEDICARE:   JESSICA  HAMMES  MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207P00000XEmergency Medicine Physician01097419AIN

General Provider Information

NPI Number : 1760178099
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA HAMMES MD
Provider Business Mailing Address
First Line : 1814 GLENLIVET CT
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-3851
Country : US
Telephone Number : 260-579-8889
Fax Number :
Provider Business Practice Location Address
First Line : 720 ESKENAZI AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-5187
Country : US
Telephone Number : 317-880-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2023
Last Update Date : 03/06/2026

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