Individual
JODIE DIANE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
1120 ROBERT BLVD STE 360, SLIDELL, LA 70458-2069
(985) 646-2411
(985) 646-2413
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG09190008
LA
Other
Enumeration date
09/04/2019
Last updated
03/20/2024
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