Hart, Dillon Harris

Hart, Dillon Harris is an individual health care provider with primary practice located at 1800 Irving Pl , Shreveport LA 71101-4608. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Hart, Dillon Harris can be contacted via phone (318) 934-0550.

Contact Information

Primary practice address
1800 Irving Pl Shreveport LA 71101-4608
Phone: (318) 934-0550
Fax: (318) 934-0451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN110727 AP05951 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP05951 Louisiana

Profile Details

NPI number 1457681850
LBN Legal business name Hart, Dillon Harris
Credentials ACNP-BC, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2010
Last updated Jul 18th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457681850 NPPES
Louisiana MEDICAID 1814393

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