Individual
MS. LINDA HARDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
630 TANNER RD, MERIDIAN, MS 39301-9355
(601) 483-9495
(601) 483-9495
Mailing address
630 TANNER RD, MERIDIAN, MS 39301-9355
(601) 483-9495
(601) 483-9495
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P263144
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00770131
MEDICAID PROVIDER NUMBER
MS
Enumeration date
05/20/2007
Last updated
07/08/2007
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