Provider Demographics
NPI:1447648522
Name:HAMMOND, JESSICA VIOLA (FNP-BC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:VIOLA
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36450 TIDAL RD UNIT BC
Mailing Address - Street 2:
Mailing Address - City:SELBYVILLE
Mailing Address - State:DE
Mailing Address - Zip Code:19975-4596
Mailing Address - Country:US
Mailing Address - Phone:302-291-6045
Mailing Address - Fax:833-449-3867
Practice Address - Street 1:36450 TIDAL RD UNIT BC
Practice Address - Street 2:
Practice Address - City:SELBYVILLE
Practice Address - State:DE
Practice Address - Zip Code:19975-4596
Practice Address - Country:US
Practice Address - Phone:302-291-6045
Practice Address - Fax:833-449-3867
Is Sole Proprietor?:No
Enumeration Date:2014-12-24
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0037864163W00000X
DELG-0000888363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily