Doctor Name: | MRS. KRYSTLE MICHELLE HAMMAC |
NPI Number: | 1346507241 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 1-124687 |
Business Practice Address: | 11027 Highway 41 Brewton, AL - 364266577 |
Business Phone Number: | 2513631372 |
Business Fax Number: | |
Mailing Address: | 11027 Highway 41, BREWTON |
State: | AL |
Postal Code: | 364266577 |
Phone Number: | 2513631372 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2012 |
NPI Last Update Date: | 04/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 1-124687 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |