Individual
MRS. MEGAN M HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
210 HWY 30 W, NEW ALBANY, MS 38652-3112
(662) 539-7014
(662) 314-9501
Mailing address
PO BOX 405827, ATLANTA, GA 30384-5827
(901) 227-4068
(901) 227-4051
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R863881
MS
363LF0000X
Family Nurse Practitioner
R863881
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020700026
TAX ID
MS
05
—
03756231
—
MS
Enumeration date
10/20/2006
Last updated
09/15/2022
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