Provider Demographics
NPI:1538042734
Name:HAMM, JOHNNA MICHELLE (RN, BSN)
Entity type:Individual
Prefix:
First Name:JOHNNA
Middle Name:MICHELLE
Last Name:HAMM
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:NE
Mailing Address - Zip Code:68037-7089
Mailing Address - Country:US
Mailing Address - Phone:402-234-3585
Mailing Address - Fax:844-367-3680
Practice Address - Street 1:202 W 3RD ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:NE
Practice Address - Zip Code:68037-7089
Practice Address - Country:US
Practice Address - Phone:402-234-3585
Practice Address - Fax:402-234-3585
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE84412163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool