Individual
TAMMARA S BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
156 CHURCH AVE, NEW HOPE, AL 35760-9508
(256) 723-4673
Mailing address
3023 LAUREL COVE WAY, GURLEY, AL 35748
(256) 323-7011
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
1-154412
AL
363LP0200X
Pediatric Nurse Practitioner
1-154412
AL
Other
Enumeration date
11/07/2021
Last updated
01/11/2024
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