IndividualActive
Andrea Hammer
NPI 1841928967 · Nurse Practitioner · Carbondale, IL
Provider details
- NPI number
- 1841928967
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 209025636 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
305 W Jackson St Ste 206
Carbondale, IL 62901-1474
Phone: (184) 573-0066
Fax: (618) 457-3007
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3988
Carbondale, IL 62902-3988
Registry dates
- Enumerated
- 2022-08-09
- Last updated
- 2025-02-10
- Certified
- 2025-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.