| Laura Renea Hardy, | |
|
9097 Collinsville Rd, Collinsville, MS 39325-9779 | |
| (601) 626-8874 | |
| Not Available |
| Full Name | Laura Renea Hardy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 9097 Collinsville Rd, Collinsville, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669065546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 904435 (Mississippi) | Primary |
| Entity Name | Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609820539 PECOS PAC ID: 9234043712 Enrollment ID: O20031118000855 |
| Entity Name | Rush Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588625594 PECOS PAC ID: 2567368541 Enrollment ID: O20031210000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Renea Hardy, 6489 King Rd, Meridian, MS 39305-8362 Ph: (601) 663-5686 | Laura Renea Hardy, 9097 Collinsville Rd, Collinsville, MS 39325-9779 Ph: (601) 626-8874 |
Gloria J. Jackson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9097 Collinsville Rd, Collinsville, MS 39325 Phone: 601-626-8874 Fax: 601-626-8592 | |
Kristen Thames, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11115 Hill Thompson Rd, Collinsville, MS 39325 Phone: 601-678-1065 |