Individual
MARILYN M HARRINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RN, AGNP-C
Contact information
Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216-4500
(601) 984-6270
(601) 815-1828
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6270
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG0914088
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00633561
—
MS
Enumeration date
01/09/2015
Last updated
07/29/2015
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