Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LG0600X | Nurse Practitioner - Gerontology | 832052 | FL |
NPI | 1083726327 |
---|---|
Provider Name | Ms. Deborah Lee Harper |
First Address | Ocala, FL 34470-6831 |
Second Address | Ocala, FL 34470-6831 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |