{"npi":"1669450037","type":"NPI-1","status":"active","name":{"display":"Charlie Hardin Cfnp/Acnp","other":[],"first":"CHARLIE","last":"HARDIN","middle":"M","credential":"CFNP/ACNP"},"specialty":{"primary_taxonomy":"363LA2100X","primary_taxonomy_description":"Acute Care Nurse Practitioner","slug":"acute-care-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LA2100X","description":"Acute Care Nurse Practitioner","primary":true,"state":"MS","license":"R857156"}]},"addresses":[{"purpose":"LOCATION","street_1":"110 PARK STREET","city":"WALNUT GROVE","state":"MS","postal_code":"39189","country_code":"US","phone":"6012530173","fax":"6012530176"},{"purpose":"MAILING","street_1":"965 RIDGE LAKE BLVD STE 103","city":"MEMPHIS","state":"TN","postal_code":"381209446","country_code":"US","phone":"9012273255","fax":"9012278591"}],"license":{"state":"MS","number":"R857156"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"03239875","state":"MS","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040803001282","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"MS","pac_id":"8628049681"}]},"enumeration_date":"2006-01-05","last_updated":"2018-03-07","_meta":{"source":"NPPES","snapshot_date":"2018-03-07","doc_url":"https://findmynpi.com/api"}}