Individual
TERESA SUZETTE HAMMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FPMHP
Contact information
Practice address
5001 HARDY ST, HATTIESBURG, MS 39402-1308
(601) 268-8029
(601) 268-8394
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-4749
(601) 200-5929
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R875679
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R875679
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02977032
—
MS
Enumeration date
03/13/2012
Last updated
02/27/2018
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