Provider Demographics
NPI:1104049063
Name:HAMMAN, ALLEGRA JACQUELINE (CRNP)
Entity type:Individual
Prefix:MS
First Name:ALLEGRA
Middle Name:JACQUELINE
Last Name:HAMMAN
Suffix:
Gender:F
Credentials:CRNP
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Other - Credentials:
Mailing Address - Street 1:10753 FALLS RD
Mailing Address - Street 2:JOHNS HOPKINS AT GREEN SPRING SUITE 315
Mailing Address - City:LUTHERVILLE TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-4535
Mailing Address - Country:US
Mailing Address - Phone:410-583-2926
Mailing Address - Fax:410-583-2883
Practice Address - Street 1:10753 FALLS RD
Practice Address - Street 2:JOHNS HOPKINS AT GREEN SPRING SUITE 315
Practice Address - City:LUTHERVILLE TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-4535
Practice Address - Country:US
Practice Address - Phone:410-583-2926
Practice Address - Fax:410-583-2883
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR109043363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD570039600Medicaid
MD206695Y82Medicare PIN