Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 203677 | LA |
Y | 2080P0204X | Pediatric Emergency Doctor | MD.206377 | LA |
NPI | 1316261316 |
---|---|
Provider Name | Emily Jo Harrison |
First Address | Baton Rouge, LA 70816-6038 |
Second Address | New Orleans, LA 70118-5798 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2010 |
Last Update Date | 29/03/2021 |