Individual
MRS. TRACY RENEE HAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
533 E COUNTY LINE RD STE 102, GREENWOOD, IN 46143-1074
(317) 497-6626
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-9312
(317) 621-6920
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
71008100A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300016071
—
IN
Enumeration date
06/28/2018
Last updated
08/27/2024
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