Provider Demographics
NPI:1902104870
Name:HAMMOCK, MORGAN LINDSAY (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:LINDSAY
Last Name:HAMMOCK
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:MORGAN
Other - Middle Name:LINDSAY
Other - Last Name:BOWMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:218 HOSPITAL AVE STE A
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:AL
Mailing Address - Zip Code:36360-2072
Mailing Address - Country:US
Mailing Address - Phone:334-774-1982
Mailing Address - Fax:
Practice Address - Street 1:218 HOSPITAL AVE STE A
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:AL
Practice Address - Zip Code:36360-2072
Practice Address - Country:US
Practice Address - Phone:334-774-1982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-02
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-115888363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily