Hamilton, Rebecca Jane

Hamilton, Rebecca Jane is an individual health care provider with primary practice located at 2204 Pavilion Dr Suite 108, Kingsport TN 37660-4657. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Hamilton, Rebecca Jane can be contacted via phone (423) 392-6100.

Contact Information

Primary practice address
2204 Pavilion Dr Suite 108 Kingsport TN 37660-4657
Phone: (423) 392-6100
Fax: (423) 392-6159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN0000007612 Tennessee

Profile Details

NPI number 1245226737
LBN Legal business name Hamilton, Rebecca Jane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Jun 30th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245226737 NPPES
Tennessee MEDICAID 1524413
Tennessee Other TN0117
Tennessee Other 4306925
Tennessee MEDICAID 010018404

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