Doctor Name: | JANE M HARMON |
NPI Number: | 1013020643 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PMHNP-BC |
License Number: | 227609 |
Business Practice Address: | 108 S Central Ave Ste 2 Idabel, OK - 747454848 |
Business Phone Number: | 5802369886 |
Business Fax Number: | |
Mailing Address: | 305 Dogwood Ct, BROKEN BOW |
State: | OK |
Postal Code: | 747286118 |
Phone Number: | 5805842406 |
Fax Number: | |
NPI Enumeration Date: | 08/17/2006 |
NPI Last Update Date: | 02/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 227609 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |