Individual
MARY ANN HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
140 DAMERON AVE, KNOXVILLE, TN 37917-6413
(865) 215-5074
(865) 215-5406
Mailing address
1102 HEATHERFIELD LN, KNOXVILLE, TN 37909-3726
(865) 691-6249
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000048346
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN0000048346
REGISTERED NURSE LICENSE
TN
Enumeration date
02/01/2007
Last updated
07/08/2007
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