Individual
NICHOLAS VINCENT HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
24 BAILEY AVE, HILLSIDE, NJ 07205-1602
(347) 401-4720
Mailing address
24 BAILEY AVE, HILLSIDE, NJ 07205-1602
(347) 401-4720
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ1458900
NJ
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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