Provider Demographics
NPI:1508340936
Name:HARMON, SEFELISHA (APN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:SEFELISHA
Middle Name:
Last Name:HARMON
Suffix:
Gender:F
Credentials:APN, PMHNP-BC
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 1:3835 N FREEWAY BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-1954
Mailing Address - Country:US
Mailing Address - Phone:916-576-7900
Mailing Address - Fax:
Practice Address - Street 1:2801 NETWORK BLVD STE 220
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-1880
Practice Address - Country:US
Practice Address - Phone:855-501-1004
Practice Address - Fax:833-559-1130
Is Sole Proprietor?:No
Enumeration Date:2018-09-21
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX838245163WP0808X
IL209018356363LP0808X
TXAP139058363LP0808X
VA0024187265363LP0808X
IN71008368A363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health