Provider Demographics
NPI:1427354976
Name:HAMMOND, JESSICA (CRNA)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 9TH AVE
Mailing Address - Street 2:BOX 359724
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2420
Mailing Address - Country:US
Mailing Address - Phone:206-744-8491
Mailing Address - Fax:206-744-8009
Practice Address - Street 1:325 9TH AVE
Practice Address - Street 2:BOX 359724
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2420
Practice Address - Country:US
Practice Address - Phone:206-744-8491
Practice Address - Fax:206-744-8009
Is Sole Proprietor?:No
Enumeration Date:2011-02-01
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60210176367500000X
WARN00163373163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse