# MRS. JACQUELINE BURT HARTMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1134754591
- **Gender:** F
- **Credential:** PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 12054 | CT | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 327144 | NC | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 5013676 | NC | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 7261376 | ID | — |

## Other

- **Enumeration date:** 03/05/2020
- **Last updated:** 09/15/2025