Individual
JUDITH L. HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
344 A ST, SPRINGFIELD MUNICIPAL JAIL, SPRINGFIELD, OR 97477-4536
(541) 744-4166
(541) 744-4188
Mailing address
26056 CATON LN, MONROE, OR 97456-9452
(541) 847-1149
(541) 847-1149
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200350125 FNP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040159
—
OR
01
—
079043995RN
STATE LICENSE
OR
01
—
200350125-FNP-PP
STATE LICENSE
OR
Enumeration date
05/25/2007
Last updated
03/07/2023
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