Individual
KAILYNN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 SOUTHWOOD DR, CLINTON, NC 28328-5002
(910) 592-8165
Mailing address
802 S 24TH ST, MOUNT VERNON, IL 62864-3013
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
REDN-101802
NC
363LF0000X
Family Nurse Practitioner
Primary
5011712
NC
Other
Enumeration date
03/26/2019
Last updated
01/13/2025
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