Individual
MS. KEENA NICOLE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7065 INDIANA AVE STE 110, RIVERSIDE, CA 92506-4167
(951) 476-0115
Mailing address
19637 MARIPOSA AVE, RIVERSIDE, CA 92508-9634
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95013139
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95013139
CA
Other
Enumeration date
09/04/2019
Last updated
07/18/2023
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