Individual provider · Type 1 NPI
Thomas Jordan Hartline, CRNP
Nurse Practitioner · Boaz, AL
Practice location
2505 US Highway 431
Boaz, AL 35957-5908
Mailing address
1288 Kirk Rd
Rainsville, AL 35986-6029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 1-182090 (AL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1902770613
Thomas Jordan Hartline, CRNP's National Provider Identifier is 1902770613, issued on Oct 4, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boaz, AL. The record was last updated on Oct 4, 2025.