Provider Demographics
NPI:1073938452
Name:HARRELL-LEE, TEENA (RN-BC)
Entity Type:Individual
Prefix:MRS
First Name:TEENA
Middle Name:
Last Name:HARRELL-LEE
Suffix:
Gender:F
Credentials:RN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 MARTHA DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-9757
Mailing Address - Country:US
Mailing Address - Phone:318-235-3956
Mailing Address - Fax:
Practice Address - Street 1:28 MARTHA DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-9757
Practice Address - Country:US
Practice Address - Phone:318-235-3956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-21
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA62111163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult