Provider Demographics
NPI:1720661887
Name:HART, MARGARET ARLENE (FNP-C, PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:ARLENE
Last Name:HART
Suffix:
Gender:F
Credentials:FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 RAWLS DR STE 900
Mailing Address - Street 2:
Mailing Address - City:MCCOMB
Mailing Address - State:MS
Mailing Address - Zip Code:39648-2864
Mailing Address - Country:US
Mailing Address - Phone:601-684-8284
Mailing Address - Fax:601-684-8199
Practice Address - Street 1:300 RAWLS DR STE 300
Practice Address - Street 2:
Practice Address - City:MCCOMB
Practice Address - State:MS
Practice Address - Zip Code:39648-2875
Practice Address - Country:US
Practice Address - Phone:601-684-8284
Practice Address - Fax:601-684-8199
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-05
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS903774363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily