Provider Demographics
NPI:1215472147
Name:HAMPTON, FELICIA D (RN)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:D
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1769 BENT TWIG LN
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63138-1415
Mailing Address - Country:US
Mailing Address - Phone:314-327-0271
Mailing Address - Fax:314-584-5045
Practice Address - Street 1:1769 BENT TWIG LN
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63138-1415
Practice Address - Country:US
Practice Address - Phone:314-327-0271
Practice Address - Fax:314-584-5045
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-02
Last Update Date:2017-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health