Individual
ANGELA HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
54 EXETER RD STE B, JACKSON, TN 38305-1985
(731) 265-6197
Mailing address
54 EXETER RD STE B, JACKSON, TN 38305-1985
(731) 265-6197
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28688
TN
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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