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Individual

ERIN HARRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
220 OAK TREE DR, HERNANDO, MS 38632-1196
(662) 510-8606
Mailing address
PO BOX 770, HERNANDO, MS 38632-0770
(901) 647-0054

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
901502
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
20245
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
901502
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
901502
NP LICENSE
Enumeration date
09/09/2015
Last updated
06/21/2024
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