Individual
LISA RENEE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, PMHNP-BC
Contact information
Practice address
7115 HARVEST GLEN LN, RIVERVIEW, FL 33578-8643
(724) 840-5158
Mailing address
7115 HARVEST GLEN LN, RIVERVIEW, FL 33578-8643
(724) 840-5158
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11036172
FL
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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