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Organization
DILLON HART ACNP, LLC
Active
Organization
DILLON HART ACNP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DILLON HARRIS HART NP (PRESIDENT/OWNER)
(318) 458-3857
Entity
Organization
Contact information
Practice address
1800 IRVING PLACE, SHREVEPORT, LA 71101
(318) 458-3857
(318) 929-2918
Mailing address
PO BOX 5234, BOSSIER CITY, LA 71171-5234
(318) 458-3857
(318) 314-2046
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
—
NULL
363LA2100X
Acute Care Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1814393
—
LA
Enumeration date
08/22/2015
Last updated
10/05/2023
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