Holly E Harmon
Nurse Practitioner - Psychiatric/Mental Health
1366 E 1050th Ave
Oblong
, Illinois 62449-2409
Holly E Harmon
Nurse Practitioner - Psychiatric/Mental Health
1366 E 1050th Ave
Oblong
, Illinois 62449-2409
(618) 546-2602
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Holly E Harmon
- 1366 E 1050th Ave
- Oblong, IL
- Zip : 62449-2409
- Fax : (618) 546-2602
- Phone : (618) 592-3119
Second Address
- Holly E Harmon
- 1366 E 1050th Ave
- Oblong, IL
- Zip : 62449-2409
- Fax : (618) 546-2602
- Phone : (618) 592-3119
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 209.019582 | IL |
National Provider Identifier
| NPI | 1013579820 |
|---|---|
| Provider Name | Holly E Harmon |
| First Address | Oblong, IL 62449-2409 |
| Second Address | Oblong, IL 62449-2409 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2019 |
| Last Update Date | 11/08/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.