Individual
JONATHAN DREW HAMMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
220 SMITH CHURCH RD, ROANOKE RAPIDS, NC 27870-4914
(252) 537-9268
Mailing address
109 LIVE OAK PL, ROANOKE RAPIDS, NC 27870-3256
(252) 578-9873
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
240226
NC
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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