Individual
ANGELA M HARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 N STATE OF FRANKLIN RD, ROOM 2746, JOHNSON CITY, TN 37604-6035
(423) 431-2727
(423) 431-6715
Mailing address
400 N STATE OF FRANKLIN RD, ROOM 2746, JOHNSON CITY, TN 37604-6035
(423) 431-2727
(423) 431-6715
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14795
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285958207
—
NC
05
—
1285958207
—
VA
05
—
1519338
—
TN
Enumeration date
03/19/2010
Last updated
02/02/2017
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