Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | RN203608 | GA |
NPI | 1023561131 |
---|---|
Provider Name | Joanna Harkness |
First Address | Gainesville, GA 30501-7443 |
Second Address | Gainesville, GA 30501-7443 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2016 |
Last Update Date | 07/01/2021 |