Individual
MRS. TONYA A HARBISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
6912 WASHINGTON AVE, OCEAN SPRINGS, MS 39564-2133
(228) 818-9191
Mailing address
150 BURGUNDY DR, LUCEDALE, MS 39452-7951
(228) 219-0752
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902791
MS
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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