Individual
MARKAYNE LACY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
8125 GEORGIA CT N, BROOKLYN PARK, MN 55445-2529
(763) 647-9173
Mailing address
8125 GEORGIA CT N, BROOKLYN PARK, MN 55445-2529
(763) 647-9173
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2485919
MN
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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