Provider Demographics
NPI:1508340936
Name:HARMON, SEFELISHA (APN)
Entity Type:Individual
Prefix:
First Name:SEFELISHA
Middle Name:
Last Name:HARMON
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:SEFELISHA
Other - Middle Name:MARIE
Other - Last Name:HARMON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:613 WILLOWMORE DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-2348
Mailing Address - Country:US
Mailing Address - Phone:713-203-5679
Mailing Address - Fax:
Practice Address - Street 1:4825 ALLIANCE BLVD STE 150
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5577
Practice Address - Country:US
Practice Address - Phone:713-203-5679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-21
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209018356363LP0808X
VA0024187265363LP0808X
IN71008368A363LP0808X
TXAP139058363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health