Most Relevant Information
Provider Data
| NPI Number: | 1003634536 |
| Provider Name: | NICOLE LYNN HARMON PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/02/2024 |
| Last Updated: | 10/02/2024 |
Provider Practice Location
184 GLADE RD
CUMBERLAND GAP
TN
377244233
Practice Location Phone/Fax
| Phone: | 6183342054 |
| Fax: |
Provider Mailing Location
184 GLADE RD
CUMBERLAND GAP
TN
377244233
Provider Mailing Phone/Fax
| Phone: | 6183342054 |
| Fax: |