LOLITA DENISE HARTLEY NURSE PRACTITIONER NPI 1306305487

NPI Information

NPI: 1306305487
Provider Name: LOLITA DENISE HARTLEY, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1828 HOSPITAL DR
JACKSON, MS
ZIP 39204
Phone: (601) 487-8594
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Lolita Denise Hartley, NURSE PRACTITIONER is a psychiatric/mental health nurse practitioner in Jackson, MS with 10 years of experience. Lolita Denise Hartley, NURSE PRACTITIONER NPI is 1306305487. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1828 HOSPITAL DR
JACKSON, MS
ZIP 39204-410
Phone: (601) 487-8594
Fax: (601) 487-8570

The NPI 1306305487 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/18/2019 and was last updated on 10/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	902992	MISSISSIPPI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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