Individual
SIRJEREMY HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
208 E OLIN AVE, MADISON, WI 53713-1413
(608) 280-2700
Mailing address
6615 BERKSHIRE RD, MADISON, WI 53711-2306
(608) 622-8006
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1113556
WI
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1113556
WI
Other
Enumeration date
11/02/2024
Last updated
07/07/2025
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