KELLY JANE HARDIN


Address: 2630 E Citizens Dr, Suite 13, Fayetteville, AR 72703-4749
Phone: 4795716000

KELLY JANE HARDIN (NPI# 1225206436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225206436
Entity Type Individual
Full Name KELLY JANE HARDIN
Other Name KELLY JANE MILBURN
Credential APRN
Practice Address 2630 E Citizens Dr
Suite 13
Fayetteville
AR 72703-4749
Mailing Address Po Box 3678
Fayetteville
AR 72702-3678
Practice Telephone 4795716000
Practice Fax Number 4795713344
Mailing Telephone 4795716000
Mailing Fax Number 4795713344
Enumeration Date 2008-02-11
Last Update Date 2015-06-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
A003090 AR Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
2012022807 MO Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
ATP000133 AR Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLY HARDIN

NPI Name Taxonomy Address Enumeration
1487261236 Kelly Diane Hardin Registered Nurse 1503 Hobson St, Walla Walla, WA 99362-2427 2020-09-25
1104169895 Kelly Leshell Hardin Registered Nurse 1205 E 35th St, Texarkana, AR 71854-2746 2013-04-01

Office Location

Street Address 2630 E CITIZENS DR
SUITE 13
City FAYETTEVILLE
State AR
Zip Code 72703-4749

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316998156 Debra Gail Walker Nurse Practitioner 2630 E Citizens Dr, Suite 13, Fayetteville, AR 72703-4797 2006-05-15
1295281392 Ozark Medical Consultants Pllc Family Medicine 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703-4797 2016-08-29
1750731733 Mary Christine Haggard Dietitian, Registered 2630 E Citizens Dr, Fayetteville, AR 72703-4797 2016-06-21
1609265420 Amanda Lamb Nurse Practitioner 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703-4797 2015-01-16
1982009395 Mission Family Practice Pllc Family Medicine 2630 E Citizens Dr, Suite #13, Fayetteville, AR 72703-4797 2014-10-28
1114336278 Brooke Lou Larson Physician Assistant 2630 E Citizens Dr, Fayetteville, AR 72703-4797 2014-08-03
1437440922 Medical Associates of Northwest Arkansas Pa Family Medicine 2630 E Citizens Dr, Suite 13, Fayetteville, AR 72703-4797 2011-05-02
1366655078 Robert G Hodous Dds Ltd Dentist 2630 E Citizens Dr, Suite 8, Fayetteville, AR 72703-4797 2007-05-08
1053347633 Access Urgent Care Family Medicine 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703-4339 2006-06-24
1508808742 Lucy Jones Nurse Practitioner 2630 E Citizens Dr, Suite 13, Fayetteville, AR 72703-4797 2006-06-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477154391 Margaret Sorrells Pharmacist 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 2020-11-06
1497369631 Justin A Rand Massage Therapist 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 2020-09-04
1235777558 Washington Regional Medical System Specialist 3264 N North Hills Blvd, Fayetteville, AR 72703 2019-12-17
1760024582 Haley Brooke Thompson Occupational Therapist 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 2019-10-14
1306492129 Bhg L, LLC Clinic/Center 8 Colt Square Drive, Fayetteville, AR 72703 2019-08-16
1306406269 Idell Marie Mitchell Optometrist Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 2019-06-13
1821574815 Toni Myer Nurse Practitioner 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 2018-07-13
1306340393 Josh Kelfer Student in an Organized Health Care Education/Training Program 1125 North College Avenue, Fayetteville, AR 72703 2018-03-22
1649726449 Vantage Point of Nwa Community/Behavioral Health 4171 N. Crossover Rd, Fayetteville, AR 72703 2016-08-31
1386097137 Jason Nordstrom Speech-Language Pathologist 2664 N Valencia Ave, Fayetteville, AR 72703 2016-07-18
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528674181 Maggie Mullican Nurse Practitioner 7084 S Pleasant Ridge Dr, Fayetteville, AR 72704-5447 2020-09-18
1720690167 Stephen Arthur Lepak Nurse Practitioner 6871 Appleton Dr, Fayetteville, PA 17222-9383 2020-08-18
1750990255 Towauna Daya Nurse Practitioner 1338 Redwine Rd, Fayetteville, GA 30215-2509 2020-07-30
1316555642 Constance Ofundem Takang Nurse Practitioner 110 Emerald Lake Ct, Fayetteville, GA 30215-7747 2020-07-22
1851916472 Breanna Mills Nurse Practitioner 2623 N Fire Fly Catch Dr, Fayetteville, AR 72704-6313 2020-06-09
1922621069 Laura Sarai Perez Nurse Practitioner 480 Lees Lake Rd, Fayetteville, GA 30214-3106 2020-05-23
1902431125 Crystal Baker English Nurse Practitioner 113 Old Bethel Rd, Fayetteville, TN 37334-6186 2020-03-09
1568092708 Stephanie Elizabeth Fields Nurse Practitioner 1265 Highway 54 Ste 402, Fayetteville, GA 30214-4537 2020-01-15
1437616364 Andrea Teal Bergman Nurse Practitioner Physicians Medical Walk In Care, 2893 Huntsville Hwy, Fayetteville, TN 37334-6729 2019-02-27
1639634447 Arica Adams-gro'ce Nurse Practitioner 4028 Lifestyle Rd, Fayetteville, NC 28312-9335 2019-02-06
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Competitor

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City FAYETTEVILLE
Zip Code 72703

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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