Provider Demographics
NPI:1023300787
Name:HARRISON, KATHERINE R (PNP)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:R
Last Name:HARRISON
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:310 25TH AVE N
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1515
Mailing Address - Country:US
Mailing Address - Phone:615-209-9386
Mailing Address - Fax:615-942-0982
Practice Address - Street 1:800 WEATHERLY
Practice Address - Street 2:SUITE 201
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043
Practice Address - Country:US
Practice Address - Phone:931-648-1912
Practice Address - Fax:931-648-1277
Is Sole Proprietor?:No
Enumeration Date:2011-05-12
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNAPN0000014907363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics