Individual
DAISOPHIA HARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 HAMPTON ST STE E, MCDONOUGH, GA 30253-3159
(678) 347-1853
Mailing address
17 HAMPTON ST STE E, MCDONOUGH, GA 30253-3159
(678) 347-1853
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN260055
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN260055
GA
Other
Enumeration date
04/29/2019
Last updated
05/25/2025
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