| Constance Mcmillan Harthcock, FNP-C | |
|
1297 W Government St, Brandon, MS 39042-3048 | |
| (601) 200-4790 | |
| (601) 200-4855 |
| Full Name | Constance Mcmillan Harthcock |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1297 W Government St, Brandon, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841665494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 730564 (Mississippi) | Primary |
| Entity Name | St. Dominic Medical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407920549 PECOS PAC ID: 0446303168 Enrollment ID: O20090728000821 |
| Mailing Address | Practice Location Address |
|---|---|
| Constance Mcmillan Harthcock, FNP-C 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (601) 200-4790 | Constance Mcmillan Harthcock, FNP-C 1297 W Government St, Brandon, MS 39042-3048 Ph: (601) 200-4790 |
Brandy Nicole Newsome Byrd, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 613 Marquette Rd, Brandon, MS 39042 Phone: 601-824-0342 | |
Mrs. Brittany Lauren Hall, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1645 W Government St Ste F, Brandon, MS 39042 Phone: 601-829-6600 | |
Donald J Garrett, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 762 Highway 468, Brandon, MS 39042 Phone: 601-824-0988 Fax: 601-824-0987 | |
Ladonna Baker Delariva, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3949 Ms-43, Brandon, MS 39047 Phone: 855-712-7627 | |
Mr. Joseph Doyle Jones, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 305 Lake Harbor Rd, Brandon, MS 39047 Phone: 601-259-6979 | |
Kenneth John Risinger, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 411 E Government St, Brandon, MS 39042 Phone: 903-824-8880 | |
Kelli Jean Huggins, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 408 Pinebrook Cir, Brandon, MS 39047 Phone: 662-739-3576 |