Doctor Name: | KATRINA HARRISON |
NPI Number: | 1083890669 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | R532266 |
Business Practice Address: | 601 Foote St Corinth, MS - 388344834 |
Business Phone Number: | 6622874424 |
Business Fax Number: | 6622868095 |
Mailing Address: | Po Box 839, CORINTH |
State: | MS |
Postal Code: | 388350839 |
Phone Number: | 6622862152 |
Fax Number: | 6622868095 |
NPI Enumeration Date: | 01/14/2008 |
NPI Last Update Date: | 01/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | R532266 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |