Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 89519 | TN |
NPI | 1235314808 |
---|---|
Provider Name | Kathy Rynd Harrison |
First Address | Franklin, TN 37069-1894 |
Second Address | Nashville, TN 37203-1538 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2008 |
Last Update Date | 02/01/2008 |