Individual
PATRICIA HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 WHITE ST, MCCOMB, MS 39648-2711
(601) 249-4214
(601) 249-1062
Mailing address
1701 WHITE ST, MCCOMB, MS 39648-2711
(601) 249-4214
(601) 249-1062
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
889685
MS
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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