Jonnie M Hamilton, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

4704102288 Issued in MI

Practice address

2301 Van Dyke St
Detroit, MI 48214-3958

Phone

(313) 866-9973

Fax

(313) 866-5749

NPI assigned

Jun 13, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1386648897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18250 MARK TWAIN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352546",
            "telephone_number": "313-866-9973",
            "fax_number": "313-866-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 VAN DYKE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143958",
            "telephone_number": "313-866-9973",
            "fax_number": "313-866-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "JONNIE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704102288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4519204",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dianell Kamiko Hamilton
• Dorcas Faith Hamilton
• Erlayna Hamilton
• Jailynn Hamilton
• Jessica Bernadette Hamilton, DPT
• Justin Hamilton, MD
• Kendra Hamilton, MD
• Marie Milligan Hamilton
• Nicole Renee Hamilton, RN
• Pamela Hamilton

• Pediatric Nurse Practitioner in Detroit, MI
• Providers in Detroit, MI by specialty
• Pediatric Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.