Individual
NICOLE MARIE JOENS HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
110 SOUTHSIDE DR, POCAHONTAS, IA 50574-2038
(712) 212-5774
Mailing address
110 SOUTHSIDE DR, POCAHONTAS, IA 50574-2038
(712) 212-5774
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
097137
IA
2255A2300X
Athletic Trainer
TCA594
KY
Other
Enumeration date
12/08/2020
Last updated
06/10/2022
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