Individual
MS. JOANN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Contact information
Practice address
17941 ST. AUBIN STREET, DETROIT, MI 48212
(313) 410-4658
Mailing address
17941 ST. AUBIN STREET, DETROIT, MI 48212
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704140752
MI
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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