Doctor Name: | MRS. NANCY LYNN HARRELL |
NPI Number: | 1972813582 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 26NC09254000 |
Business Practice Address: | 501 Front St Elmer, NJ - 083182101 |
Business Phone Number: | 8563631000 |
Business Fax Number: | |
Mailing Address: | 501 Front St, ELMER |
State: | NJ |
Postal Code: | 083182101 |
Phone Number: | 8563631000 |
Fax Number: | |
NPI Enumeration Date: | 10/15/2010 |
NPI Last Update Date: | 10/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NC09254000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |