Provider Demographics
NPI:1871388132
Name:HAMMOND-BRYANT, JANEESHA
Entity type:Individual
Prefix:
First Name:JANEESHA
Middle Name:
Last Name:HAMMOND-BRYANT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 7TH ST
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61104-1259
Mailing Address - Country:US
Mailing Address - Phone:815-315-0645
Mailing Address - Fax:
Practice Address - Street 1:424 7TH ST
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61104-1259
Practice Address - Country:US
Practice Address - Phone:815-315-0645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula