Individual
JANEY LYNNE HARDESTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
611 E DOUGLAS RD STE 208, MISHAWAKA, IN 46545
(574) 335-6700
(574) 335-0726
Mailing address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007896A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300013265
—
IN
Enumeration date
02/17/2018
Last updated
10/31/2024
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