Individual
CONSTANCE MCMILLAN HARTHCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1297 W GOVERNMENT ST, BRANDON, MS 39042-3048
(601) 200-4790
(601) 200-4855
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(601) 200-4790
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
730564
MS
Other
Enumeration date
12/08/2015
Last updated
02/25/2025
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