Individual
AMY HART DEPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4004 CARTER ST, VIDALIA, LA 71373-3013
(731) 697-9118
Mailing address
54 SGT PRENTISS DR, NATCHEZ, MS 39120-4726
(731) 697-9118
(601) 443-2722
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000121976
TN
363LF0000X
Family Nurse Practitioner
Primary
APN0000018224
TN
Other
Enumeration date
01/07/2014
Last updated
03/17/2018
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