| Mrs Pamela Denise Hardin, NP | |
|
342 Magnolia Dr, Raleigh, MS 39153-6012 | |
| (601) 782-5665 | |
| Not Available |
| Full Name | Mrs Pamela Denise Hardin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 342 Magnolia Dr, Raleigh, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174902134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R882719 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home -flowood | Flowood, MS | Home health agency |
| Sta Home Health And Hospice | Clinton, MS | Home health agency |
| Mississippi Homecare Of Jackson | Jackson, MS | Home health agency |
| S E Lackey Memorial Hospital | Forest, MS | Hospital |
| Magee General Hospital | Magee, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Independent Healthcare Management Inc | 0840197232 | 27 |
| Entity Name | Independent Healthcare Management Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306909734 PECOS PAC ID: 0840197232 Enrollment ID: O20031215000487 |
| 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 |
|---|---|
| Mrs Pamela Denise Hardin, NP Po Box 23666, Jackson, MS 39225-3666 Ph: (601) 200-4749 | Mrs Pamela Denise Hardin, NP 342 Magnolia Dr, Raleigh, MS 39153-6012 Ph: (601) 782-5665 |
Donna L Baucum, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 234 Magnolia Dr, Raleigh, MS 39153 Phone: 601-782-9797 Fax: 601-782-9790 | |
Kimberly Sharelle Watkins, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 309 Magnolia Dr, Raleigh, MS 39153 Phone: 601-782-4244 | |
Mrs. Carol Darlene Richmond-stephens, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 226 Whiteoak Ave, Raleigh, MS 39153 Phone: 601-782-9919 Fax: 601-825-8130 | |
Debra Mims Develin, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 Magnolia Dr, Raleigh, MS 39153 Phone: 601-374-8145 Fax: 601-374-8153 | |
Alexandra Winn, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 226 White Oak Ave, Raleigh, MS 39153 Phone: 601-782-9919 | |
Teresa Raybourn, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 226 Whiteoak Ave, Raleigh, MS 39153 Phone: 601-825-7280 Fax: 601-825-8130 |