Individual
MARCIA WATTS HAMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP-BC
Contact information
Practice address
2800 W GRAND BLVD, DETROIT, MI 48202-2610
(888) 777-4167
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(138) 744-8063
(138) 761-3053
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704429105
MI
363LA2100X
Acute Care Nurse Practitioner
AP128720
TX
363LA2100X
Acute Care Nurse Practitioner
CNP-02766
NM
363LA2200X
Adult Health Nurse Practitioner
AP128720
TX
363LA2200X
Adult Health Nurse Practitioner
CNP-02766
NM
363LG0600X
Gerontology Nurse Practitioner
4704429105
MI
363LG0600X
Gerontology Nurse Practitioner
AP128720
TX
363LG0600X
Gerontology Nurse Practitioner
CNP-02766
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91734576
—
NM
Enumeration date
08/07/2015
Last updated
06/04/2025
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