# MR. ROY LEE HARRELL JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1407254022
- **Gender:** Man
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | RN174455 | GA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 2018034790 | MO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 201803616NP-PP | OR | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 5881 | MN | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 8415-33 | WI | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP60851716 | WA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | RN174455 | GA | Yes |

## Other

- **Enumeration date:** 12/12/2014
- **Last updated:** 05/08/2019