Organization
HAMMONS HOMETOWN HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE HAMMONS FNP (FNP)
(580) 513-3504
Entity
Organization
Contact information
Practice address
122 MULBERRY LN, WILSON, OK 73463-6203
(580) 513-3504
Mailing address
PO BOX 462, RINGLING, OK 73456-0462
(580) 513-3504
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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