Individual
MICAELA HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
3055 COUNTY ROAD 210 W STE 105, ST JOHNS, FL 32259-7001
(904) 223-9100
Mailing address
150 SEAPORT BREEZE RD, SAINT AUGUSTINE, FL 32095-0138
(720) 301-7672
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11035256
FL
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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