Individual
JORDAN HAMMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
339 WALKER CHAPEL PLZ, FULTONDALE, AL 35068-3401
(205) 841-2844
Mailing address
79 MEGAN RD, HAYDEN, AL 35079-9200
(205) 902-7872
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-123755
AL
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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