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:
Health care specialties
Specialty | Code | License # | 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 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1457681850 | NPPES |
Louisiana | MEDICAID | 1814393 |
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