Individual
MRS. PAMELA KAY HAMMOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
1821 S WEBSTER AVE, GREEN BAY, WI 54301-2253
(920) 496-4700
Mailing address
133 GREENE AVE, GREEN BAY, WI 54301-2941
(304) 488-1819
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10666-33
WI
363LF0000X
Family Nurse Practitioner
369874
OH
363LF0000X
Family Nurse Practitioner
APRN 48489 FNP-BC
WV
Other
Enumeration date
03/21/2016
Last updated
02/22/2022
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