Individual
DR. CONSTANCE ALEXIS HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-4570
Mailing address
2000 BROOKSIDE DR, 3RD FLOOR, KINGSPORT, TN 37660-4627
(423) 857-5905
(423) 857-5904
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
39955
TN
207R00000X
Internal Medicine Physician
MD2010-0522
NM
208M00000X
Hospitalist Physician
Primary
2025003953
MO
208M00000X
Hospitalist Physician
21979
ND
208M00000X
Hospitalist Physician
78579
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568409829
—
VA
05
—
3335540
—
TN
05
—
3335549
—
TN
01
—
4111406
BLUE CROSS
TN
01
—
4153179
BLUE CROSS
TN
01
—
P00287028
RAILROAD MEDICARE
TN
Enumeration date
06/02/2006
Last updated
02/24/2025
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