Provider Demographics
NPI:1053583583
Name:HESS, TAMMY JEANETTE (ARNP/CNM)
Entity type:Individual
Prefix:MS
First Name:TAMMY
Middle Name:JEANETTE
Last Name:HESS
Suffix:
Gender:F
Credentials:ARNP/CNM
Other - Prefix:
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Mailing Address - Street 1:235 N WESTMONTE DR
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-3345
Mailing Address - Country:US
Mailing Address - Phone:407-262-5710
Mailing Address - Fax:407-262-5796
Practice Address - Street 1:7472 DOCS GROVE CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-8010
Practice Address - Country:US
Practice Address - Phone:407-381-7336
Practice Address - Fax:407-351-6872
Is Sole Proprietor?:No
Enumeration Date:2008-03-25
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL9291537367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001107100Medicaid
CG605ZMedicare PIN