Individual provider · Type 1 NPI
Jodie Diane Harrison, AGNP-C
Gerontology Nurse Practitioner · Slidell, LA
NPI number
1063061950
Active
Practice location
1120 Robert Blvd Ste 360
Slidell, LA 70458-2069
Fax (985) 646-2413
Mailing address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | AG09190008 (LA) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
Other gerontology nurse practitioner providers in Slidell
About NPI 1063061950
Jodie Diane Harrison, AGNP-C's National Provider Identifier is 1063061950, issued on Sep 4, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Slidell, LA. The record was last updated on Mar 20, 2024.