Individual
GINA MARIE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP, PMHNP-BC
Contact information
Practice address
360 WHITE DEER RUN RD, ALLENWOOD, PA 17810-9268
(570) 428-9537
Mailing address
PO BOX 1388, KINGSTON, PA 18704-0379
(570) 288-8881
(570) 288-8065
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP021761
PA
Other
Enumeration date
04/27/2020
Last updated
05/26/2021
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