Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thomas Jordan Hartline, CRNP

Individual provider Nurse Practitioner · NPI 1902770613

Thomas Jordan Hartline, CRNP is a Nurse Practitioner in Boaz, Alabama. Qualified in 2024, 2 years ago. Practices with Marshall Medical Center South Diamond Hospital Services, a 6-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
2
Licensed in
AL
In the registry since
2025
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

2505 US Highway 431
Boaz, AL 35957-5908
Phone: (256) 593-8310
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1-182090 (AL)

Record details

NPI number1902770613
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedOctober 4, 2025
Last updated in NPPESOctober 4, 2025
Certification dateOctober 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Marshall Medical Center South Diamond Hospital Services — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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