Individual
MARY NICOLE HARWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
65 MURRAY GUARD DR, JACKSON, TN 38305-3628
(731) 300-0810
Mailing address
65 MURRAY GUARD DR, JACKSON, TN 38305-3628
(731) 300-0810
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
34594
TN
Other
Enumeration date
08/09/2023
Last updated
08/30/2023
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