| Doctor Name: | MRS. KIMBERLY SUE HARBISON |
| NPI Number: | 1033478664 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP-C |
| License Number: | 9180842 |
| Business Practice Address: | 12271 Us Highway 301 N Parrish, FL - 342198410 |
| Business Phone Number: | 9417764050 |
| Business Fax Number: | 9417764060 |
| Mailing Address: | Po Box 499, PARRISH |
| State: | FL |
| Postal Code: | 342190499 |
| Phone Number: | 9417764000 |
| Fax Number: | 9417764013 |
| NPI Enumeration Date: | 05/16/2012 |
| NPI Last Update Date: | 05/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 9180842 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |