Individual
MRS. PENNY HARDWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1500 E WOODROW WILSON AVE, NURSING SERVICE, JACKSON, MS 39216-5116
(601) 362-4471
(601) 364-1425
Mailing address
5470 RIVER THAMES RD, JACKSON, MS 39211-4133
(601) 899-6994
(601) 364-1425
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R624152
MS
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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