Doctor Name: | KATHERINE R HARRISON |
NPI Number: | 1023300787 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PNP |
License Number: | APN0000014907 |
Business Practice Address: | 800 Weatherly Suite 201 Clarksville, TN - 37043 |
Business Phone Number: | 9316481912 |
Business Fax Number: | 9316481277 |
Mailing Address: | 310 25th Ave N, Suite 201 NASHVILLE |
State: | TN |
Postal Code: | 372031515 |
Phone Number: | 6152099386 |
Fax Number: | 6159420982 |
NPI Enumeration Date: | 05/12/2011 |
NPI Last Update Date: | 08/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | APN0000014907 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |