# DILLON HART ACNP, LLC

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

## Provider details

- **NPI number:** 1922475227
- **Authorized official:** DILLON HARRIS HART NP (PRESIDENT/OWNER)
- **Authorized official phone:** (318) 458-3857

## Contact information

- **Practice address:** 1800 IRVING PLACE, SHREVEPORT, LA 71101
- **Practice address phone:** (318) 458-3857
- **Practice address fax:** (318) 929-2918
- **Mailing address:** PO BOX 5234, BOSSIER CITY, LA 71171-5234
- **Mailing address phone:** (318) 458-3857
- **Mailing address fax:** (318) 314-2046

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2100X | Acute Care Nurse Practitioner | — | NULL | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/22/2015
- **Last updated:** 10/05/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1814393 | — | LA |
