Provider Demographics
NPI:1972037554
Name:HARDY, JANET A (MED)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:A
Last Name:HARDY
Suffix:
Gender:F
Credentials:MED
Other - Prefix:MS
Other - First Name:JANET
Other - Middle Name:A
Other - Last Name:SHEFFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:1202 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38801-5646
Mailing Address - Country:US
Mailing Address - Phone:662-231-6751
Mailing Address - Fax:
Practice Address - Street 1:1202 HARRISON ST
Practice Address - Street 2:
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38801-5646
Practice Address - Country:US
Practice Address - Phone:662-231-6751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-20
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health