Hammaker, Teresa Suzette

Hammaker, Teresa Suzette is an sole proprietor health care provider with primary practice located at 5001 Hardy St , Hattiesburg MS 39402-1308. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Hammaker, Teresa Suzette can be contacted via phone (601) 268-8029.

Contact Information

Primary practice address
5001 Hardy St Hattiesburg MS 39402-1308
Phone: (601) 268-8029
Fax: (601) 268-8394
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R875679 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R875679 Mississippi

Profile Details

NPI number 1356616114
LBN Legal business name Hammaker, Teresa Suzette
Credentials FPMHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2012
Last updated Feb 27th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356616114 NPPES
Mississippi MEDICAID 02977032

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