Individual
JANE MICHELLE HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
302 W 4TH ST, DEQUINCY, LA 70633-3404
(337) 222-5524
(337) 483-1037
Mailing address
3173 BUNKER HILL RD, LAKE CHARLES, LA 70611-5909
(817) 627-7481
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200646
LA
363L00000X
Nurse Practitioner
Primary
200646
LA
363LF0000X
Family Nurse Practitioner
200646
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689406431
—
LA
Enumeration date
08/19/2024
Last updated
03/27/2026
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