Provider Demographics
NPI:1700591468
Name:HARRIS, ALISON JOY (APRN)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:JOY
Last Name:HARRIS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:274 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:HARROGATE
Mailing Address - State:TN
Mailing Address - Zip Code:37752-7635
Mailing Address - Country:US
Mailing Address - Phone:606-273-9747
Mailing Address - Fax:
Practice Address - Street 1:304 E CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:LA FOLLETTE
Practice Address - State:TN
Practice Address - Zip Code:37766-3617
Practice Address - Country:US
Practice Address - Phone:423-437-8612
Practice Address - Fax:423-201-9349
Is Sole Proprietor?:No
Enumeration Date:2023-01-17
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33782363LF0000X
KY3018914363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily