Individual
LAURA RENEA HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9097 COLLINSVILLE RD, COLLINSVILLE, MS 39325-9779
(601) 626-8874
Mailing address
6489 KING RD, MERIDIAN, MS 39305-8362
(601) 663-5686
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904435
MS
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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