Individual
LORA BETH HEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4500 W MIDWAY RD, FORT PIERCE, FL 34981-4823
(772) 468-5600
Mailing address
2941 BENT PINE DR, FORT PIERCE, FL 34951-2923
(772) 332-2635
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2827802
FL
Other
Enumeration date
11/30/2009
Last updated
03/25/2015
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