Individual
MS. NICOLE MARIE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC
Contact information
Practice address
228 NE JEFFERSON AVE, PEORIA, IL 61603-3802
(309) 671-8000
Mailing address
228 NE JEFFERSON AVE, PEORIA, IL 61603-3802
(309) 671-8000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.021964
IL
Other
Enumeration date
12/18/2020
Last updated
07/27/2025
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