Individual provider · Type 1 NPI
Susan Russell Haralson, NURSE PRACTITIONER
Adult Psychiatric/Mental Health Registered Nurse · Jackson, MS
NPI number
1568612778
Active
Practice location
1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Fax (601) 368-3875
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | R856116 (MS) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1568612778
Susan Russell Haralson, NURSE PRACTITIONER's National Provider Identifier is 1568612778, issued on Sep 24, 2008. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Jackson, MS. The record was last updated on Sep 24, 2008.