Individual
MARY PARKER HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
54002 LA-1062, LORANGER, LA 70446
(985) 606-2273
Mailing address
21305 LAKE PONTCHARTRAIN DR, PONCHATOULA, LA 70454-4555
(601) 757-4229
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
916121
MS
363LP2300X
Primary Care Nurse Practitioner
239215
LA
Other
Enumeration date
11/17/2022
Last updated
02/19/2025
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