Individual
DILLON HARRIS HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP-BC, PMHNP-BC
Contact information
Practice address
1800 IRVING PL, SHREVEPORT, LA 71101-4608
(318) 934-0550
(318) 934-0451
Mailing address
1800 IRVING PLACE, PROMISE HOSPITAL OF LOUISIANA, SHREVEPORT, LA 71101
(318) 934-0550
(318) 934-0451
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
RN110727 AP05951
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP05951
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1814393
—
LA
Enumeration date
01/06/2010
Last updated
07/18/2019
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