Individual
JEANETTA ANDERSON-HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
4100 CENTRAL PIKE, HERMITAGE, TN 37076-3246
(615) 555-5555
Mailing address
PO BOX 943, HERMITAGE, TN 37076-0943
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
34513
TN
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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