Individual
IVY R HARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN,RN
Contact information
Practice address
3017 KATHERINE VALLEY RD, DECATUR, GA 30032-5826
(404) 207-8575
Mailing address
3017 KATHERINE VALLEY RD, DECATUR, GA 30032-5826
(404) 207-8575
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN273051
GA
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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