Individual
THOMAS JORDAN HARTLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
2505 US HIGHWAY 431, BOAZ, AL 35957-5908
(256) 593-8310
Mailing address
1288 KIRK RD, RAINSVILLE, AL 35986-6029
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-182090
AL
Other
Enumeration date
10/04/2025
Last updated
10/04/2025
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