Individual
MS. CANELLA KELLY HAMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
6750 N MACARTHUR BLVD, SUITE 350, IRVING, TX 75039-2875
(972) 556-1616
(972) 556-1740
Mailing address
6750 N MACARTHUR BLVD, SUITE 350, IRVING, TX 75039-2875
(972) 556-1616
(972) 556-1740
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
694255
TX
Other
Enumeration date
09/26/2006
Last updated
04/16/2013
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