Individual
MRS. PAMELA DENISE HARDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
342 MAGNOLIA DR, RALEIGH, MS 39153-6012
(601) 782-5665
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-4749
(601) 200-5929
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R882719
MS
Other
Enumeration date
05/23/2015
Last updated
02/26/2019
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