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Organization
TAZZIE HARRISON, APRN, PMHNP-BC, LLC
Active
Organization
TAZZIE HARRISON, APRN, PMHNP-BC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAZZIE D HARRISON APRN, PMHNP-BC (OWNER)
(352) 494-6692
Entity
Organization
Contact information
Practice address
2473 SE STATE ROAD 100, STARKE, FL 32091-8532
(352) 494-6692
Mailing address
2473 SE STATE ROAD 100, STARKE, FL 32091-8532
(352) 494-6692
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/20/2021
Last updated
06/22/2021
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