Harris, Nicole Marie

Harris, Nicole Marie is an individual health care provider with primary practice located at 207 E Hamilton Rd , Bloomington IL 61704-7527. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Harris, Nicole Marie can be contacted via phone (309) 827-4090.

Contact Information

Primary practice address
207 E Hamilton Rd Bloomington IL 61704-7527
Phone: (309) 827-4090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209.021964 Illinois

Profile Details

NPI number 1497341994
LBN Legal business name Harris, Nicole Marie
Credentials MSN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2020
Last updated Apr 13th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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