Individual
HOLLY E HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1366 E 1050TH AVE, OBLONG, IL 62449-2409
(618) 592-3119
(618) 546-2602
Mailing address
1366 E 1050TH AVE, OBLONG, IL 62449-2409
(618) 592-3119
(618) 546-2602
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.019582
IL
Other
Enumeration date
07/01/2019
Last updated
08/11/2020
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