Individual
MRS. JACQUELINE MARIE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 238-7000
Mailing address
901 BRIAR CT, SPENCER, IN 47460-9601
(812) 821-1311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71013096A
IN
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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