Doctor Name: | MS. TEMEKIS DELVAUGHN HAMPTON |
NPI Number: | 1215271176 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | A003763 |
Business Practice Address: | 123 Audubon Dr Ste 600 Maumelle, AR - 721135506 |
Business Phone Number: | 5017340251 |
Business Fax Number: | 5018039532 |
Mailing Address: | 123 Audubon Dr Ste 600, MAUMELLE |
State: | AR |
Postal Code: | 721135506 |
Phone Number: | 5017340251 |
Fax Number: | 5018039532 |
NPI Enumeration Date: | 11/16/2012 |
NPI Last Update Date: | 10/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A003763 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |