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NPI 1285341446

NPI 1285341446 : ERNIE S HARTLEY MSN FNP-BC : PALESTINE, TX

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General NPI Number Information
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    NPI Number           |    1285341446
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    Entity Type          |    Individual 
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    Provider Name        |    ERNIE S HARTLEY MSN FNP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/27/2022
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    Last Update Date     |    09/23/2025
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Provider Practice Location Address
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    Address Line         |    2223 S LOOP 256 
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    City                 |    PALESTINE
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    State                |    TX
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    Zip                  |    75801-4701
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    Country              |    US
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    Telephone            |    430-327-0070
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    Fax                  |    430-327-0073
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Provider Business Mailing Address
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    Address Line         |    4196 HIGHWAY 62 412 STE A 
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    City                 |    HARDY
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    State                |    AR
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    Zip                  |    72542-8002
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    969405
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    1099340
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    1099340
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    License Number State |    TX
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