| Mr Jason Lamarr Hardin, MSN, APRN, AGNP-C | |
|
6010 E W T Harris Blvd, Charlotte, NC 28215-4084 | |
| (704) 208-4134 | |
| (704) 248-8068 |
| Full Name | Mr Jason Lamarr Hardin |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 6010 E W T Harris Blvd, Charlotte, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932675758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 5011129 (North Carolina) | Primary |
| 207RI0200X | Internal Medicine - Infectious Disease | 5011129 (North Carolina) | Secondary |
| Entity Name | Amity Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003301300 PECOS PAC ID: 7618205980 Enrollment ID: O20190823002238 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jason Lamarr Hardin, MSN, APRN, AGNP-C 6010 E W T Harris Blvd, Charlotte, NC 28215-4084 Ph: (704) 208-4134 | Mr Jason Lamarr Hardin, MSN, APRN, AGNP-C 6010 E W T Harris Blvd, Charlotte, NC 28215-4084 Ph: (704) 208-4134 |
Melissa E Jesse, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2236 Shenandoah Ave, Charlotte, NC 28205 Phone: 704-999-9857 |
Mrs. Adrienne Dunlap Lane, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4109 |
Melissa Renee Flood, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Harding Pl, Ste 5100, Charlotte, NC 28204 Phone: 704-355-8850 |
Anna Philbeck Burgess, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4135 Southstream Blvd, Charlotte, NC 28217 Phone: 704-631-1200 |
Stephanie Dawn Ferlic, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6900 Farmingdale Dr, Charlotte, NC 28212 Phone: 704-910-5810 |
Brooke Alyssa Davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2711 Randolph Rd Ste 400, Charlotte, NC 28207 Phone: 704-342-1900 Fax: 704-377-0353 |
Solim Tchedre, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Randolph Rd Ste 800, Charlotte, NC 28207 Phone: 704-384-1246 Fax: 704-384-6072 |