Individual provider · Type 1 NPI
Jamale Richard Hart, AGACNP-BC
Acute Care Nurse Practitioner · Travis Afb, CA
NPI number
1407284029
Active
Practice location
101 Bodin Cir, 60 Mdg/sgic
Travis Afb, CA 94535-1809
Mailing address
877 Emerald Hills Cir
Fairfield, CA 94533-9787
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | AP124527 (TX) |
Acute Care Nurse Practitioner: Definition to come...
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- Tommy J. GarciaAcute Care Nurse Practitioner Travis Afb, CA NPI 1962323089
About NPI 1407284029
Jamale Richard Hart, AGACNP-BC's National Provider Identifier is 1407284029, issued on Oct 16, 2013. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Travis Afb, CA. The record was last updated on Apr 7, 2017.