Individual
JASON WILLIAM HARDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
4535 S LAKESHORE DR STE 5, TEMPE, AZ 85282-7046
(480) 803-7334
Mailing address
4535 S LAKESHORE DR STE 5, TEMPE, AZ 85282-7046
(480) 803-7334
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
224937
AZ
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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