Individual
ALYSSA S HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
707 N LOGAN AVE, DANVILLE, IL 61832-4360
(217) 477-4707
(217) 477-4749
Mailing address
707 N LOGAN AVE, DANVILLE, IL 61832-4360
(217) 477-4707
(217) 477-4749
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209019204
IL
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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