Organization
COLLABORATIVENP HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLEN DENISE HARRIS DNP, FNP-BC (OWNER)
(808) 724-0177
Entity
Organization
Contact information
Practice address
1081 SECOND ST, OSYKA, MS 39657-8076
(769) 264-7004
(866) 493-3926
Mailing address
PO BOX 400, OSYKA, MS 39657-0400
(769) 264-7004
(866) 493-3926
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
01/03/2025
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