Provider Demographics
NPI:1972299931
Name:HARLAN, ALEXANDRA BROUN PRESTON (PMHNP)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:BROUN PRESTON
Last Name:HARLAN
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 ELLIOTT AVE APT 323
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-2128
Mailing Address - Country:US
Mailing Address - Phone:731-343-4416
Mailing Address - Fax:
Practice Address - Street 1:2410 PATTERSON ST STE 210
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1553
Practice Address - Country:US
Practice Address - Phone:615-457-8585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33597363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health