Individual
JAMIE NICOLE HARDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
213 TIMBERLANE DR, MONTICELLO, MS 39654-3648
(601) 756-1215
Mailing address
PO BOX 579, MONTICELLO, MS 39654-0579
(601) 756-1215
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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