Individual
JOHN BENJAMIN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2600 SAINT MICHAEL DR, TEXARKANA, TX 75503-5220
(903) 614-1000
Mailing address
4110 RUSTIN CIR, TEXARKANA, AR 71854-1962
(870) 397-3818
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
220803
AR
363LA2100X
Acute Care Nurse Practitioner
Primary
AP137110
TX
Other
Enumeration date
07/26/2018
Last updated
08/15/2022
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