Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | APN0000014907 | TN |
NPI | 1023300787 |
---|---|
Provider Name | Katherine R Harrison |
First Address | Nashville, TN 37203-1515 |
Second Address | Clarksville, TN 37043 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2011 |
Last Update Date | 12/08/2014 |