Provider Demographics
NPI:1104431923
Name:FERRON, TAMMY HOPE BUNDY (BSN RN)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:HOPE BUNDY
Last Name:FERRON
Suffix:
Gender:F
Credentials:BSN RN
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:HOPE
Other - Last Name:BUNDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN RN
Mailing Address - Street 1:330 FREEMAN MILL RD
Mailing Address - Street 2:
Mailing Address - City:HAMLET
Mailing Address - State:NC
Mailing Address - Zip Code:28345-8816
Mailing Address - Country:US
Mailing Address - Phone:910-334-1867
Mailing Address - Fax:910-239-8742
Practice Address - Street 1:330 FREEMAN MILL RD
Practice Address - Street 2:
Practice Address - City:HAMLET
Practice Address - State:NC
Practice Address - Zip Code:28345-8816
Practice Address - Country:US
Practice Address - Phone:910-334-1867
Practice Address - Fax:910-239-8742
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-09
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC271986163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency