Individual
TINA RENEE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1020 N COMMERCE ST, ARDMORE, OK 73401-3920
(580) 223-5311
(580) 223-2397
Mailing address
1020 N COMMERCE ST, ARDMORE, OK 73401-3920
(580) 223-5311
(580) 223-2397
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP130039
TX
363LF0000X
Family Nurse Practitioner
Primary
R0071168
OK
Other
Enumeration date
03/04/2014
Last updated
04/11/2024
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