| NPI | 1336020221 |
|---|---|
| Doing Business As | MD/NP NEAR ME |
| Entity Type | Organization |
| Authorized Contact | LISA DIANN HART Nurse Practitioner 870-773-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RN0300X Internal Medicine, Nephrology | |
| Enumeration Date | 2025-09-09 |
| Last Update Date | 2025-09-09 |