Individual provider · Type 1 NPI
Charlie M. Hardin Jr., CFNP/ACNP
Acute Care Nurse Practitioner · Walnut Grove, MS
NPI number
1669450037
Active
Practice location
110 Park Street
Walnut Grove, MS 39189
Fax (601) 253-0176
Mailing address
965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | R857156 (MS) |
Acute Care Nurse Practitioner: Definition to come...
About NPI 1669450037
Charlie M. Hardin Jr., CFNP/ACNP's National Provider Identifier is 1669450037, issued on Jan 5, 2006. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Walnut Grove, MS. The record was last updated on Mar 7, 2018.