Provider Demographics
NPI:1700402021
Name:HARLESS, HILARY (NP)
Entity type:Individual
Prefix:
First Name:HILARY
Middle Name:
Last Name:HARLESS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 689022
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37068-9022
Mailing Address - Country:US
Mailing Address - Phone:877-847-1457
Mailing Address - Fax:615-469-6677
Practice Address - Street 1:1851 N MCKENZIE ST STE 206
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-4702
Practice Address - Country:US
Practice Address - Phone:251-677-6810
Practice Address - Fax:251-677-6811
Is Sole Proprietor?:No
Enumeration Date:2020-06-23
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-157306363L00000X, 363LF0000X, 364SE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SE0003XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistEmergency
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily