# HARDY HOUSE YOUR FAMILY HEALTHCARE PROVIDER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053961318
- **Authorized official:** LATONYA S HARDY DNP (DOCTOR OF NURSING PRACTICE/OWNER)
- **Authorized official phone:** (901) 748-5308

## Contact information

- **Practice address:** 2747 BARTLETT BLVD, BARTLETT, TN 38134-4580
- **Practice address phone:** (901) 748-5308
- **Practice address fax:** (901) 529-7716
- **Mailing address:** 4165 PINE HILL CV N, LAKELAND, TN 38002-8111
- **Mailing address phone:** (901) 229-1787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/18/2019
- **Last updated:** 09/18/2019