Individual
JENNIFER HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 RAWLS DR STE 700, MCCOMB, MS 39648-2877
(601) 250-4381
(601) 250-4382
Mailing address
PO BOX 490, MCCOMB, MS 39649-0490
(601) 250-4366
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
904768
MS
363LF0000X
Family Nurse Practitioner
Primary
904768
MS
Other
Enumeration date
09/14/2021
Last updated
09/26/2024
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