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JOAN MONTGOMERY HART FNP-BC

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1902106164

Individual Registrant:
 JOAN MONTGOMERY HART FNP-BC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
303 INDUSTRIAL DR  LINDEN, AL 36748-2002 US
Tel: 334-295-4205  Fax: 334-295-0124

Contact information for business:
303 INDUSTRIAL DR  LINDEN, AL 36748-2002 US
Tel: 334-295-4205  Fax: 334-295-0124

Registration Information:
NPI: 1902106164
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AL1-099908

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1530450LA05




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