Provider Demographics
NPI:1801422472
Name:HAMNER, BECKY (APRN)
Entity type:Individual
Prefix:
First Name:BECKY
Middle Name:
Last Name:HAMNER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 SANDTREE DR STE 203C
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33403-1500
Mailing Address - Country:US
Mailing Address - Phone:561-493-3212
Mailing Address - Fax:
Practice Address - Street 1:600 SANDTREE DR STE 203C
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33403-1500
Practice Address - Country:US
Practice Address - Phone:561-493-3212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-16
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61205092363LF0000X
CA95020037363LF0000X
COAPN.0996690-NP363LF0000X
TX1061184363LF0000X
FLAPRN11006069363LP0808X
FL11006069363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health