Individual
CRISTAL MAE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 N RACE ST, GLASGOW, KY 42141-3483
(270) 651-4444
Mailing address
1210 RED CROSS RD, PARK CITY, KY 42160-7530
(270) 590-5603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3017564
KY
Other
Enumeration date
07/18/2022
Last updated
08/11/2022
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