Provider Demographics
NPI:1669494498
Name:HARMON-O'CONNOR, DEBRAN LYNN (MSN, CRNA, ARNP)
Entity Type:Individual
Prefix:MRS
First Name:DEBRAN
Middle Name:LYNN
Last Name:HARMON-O'CONNOR
Suffix:
Gender:F
Credentials:MSN, CRNA, ARNP
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:MSC#662 PO BOX 830529
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35283-0529
Mailing Address - Country:US
Mailing Address - Phone:844-211-1592
Mailing Address - Fax:
Practice Address - Street 1:2165 HERSCHEL ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32204-3819
Practice Address - Country:US
Practice Address - Phone:904-387-4030
Practice Address - Fax:904-381-9808
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL2804752163W00000X, 367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse