Most Relevant Information
Provider Data
| NPI Number: | 1003463134 |
| Provider Name: | NICOLE HARRISON PMHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 230461 |
Most Important Dates
| Enumeration Date: | 08/22/2019 |
| Last Updated: | 10/15/2024 |
Provider Practice Location
1708 TRAWICK RD STE 115
RALEIGH
NC
276043897
Practice Location Phone/Fax
| Phone: | 9198412465 |
| Fax: | 9197479462 |
Provider Mailing Location
5001 BABBLING BROOK DR
RALEIGH
NC
276105369
Provider Mailing Phone/Fax
| Phone: | 9198412465 |
| Fax: |