JODIE DIANE HARRISON


Address: 1120 Robert Blvd Ste 200, Slidell, LA 70458-2069
Phone: 9856462411

JODIE DIANE HARRISON (NPI# 1063061950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063061950
Entity Type Individual
Full Name JODIE DIANE HARRISON
Other Name JODIE DIANE CATES
Credential AGNP-C
Practice Address 1120 Robert Blvd Ste 200
Slidell
LA 70458-2069
Practice Telephone 9856462411
Practice Fax Number 9856462413
Mailing Telephone 9856462411
Mailing Fax Number 9856462413
Enumeration Date 2019-09-04
Last Update Date 2020-01-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
AG09190008 LA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1120 ROBERT BLVD STE 200
City SLIDELL
State LA
Zip Code 70458-2069

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1184153595 Lesley Marie Achary Physician Assistant 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 2017-06-08
1376077057 Spano Pt LLC Physical Therapist 1290 Front St, Slidell, LA 70458 2017-04-19
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427595131 Jennifer Harvey Nurse Practitioner 1051 Gause Blvd Ste 320, Slidell, LA 70458-2988 2017-01-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780237701 Mary Inman Nurse Practitioner 1449 E Bert Koun Loop Ste 100, Shreveport, LA 71105-5680 2019-07-18
1376195271 Michelle Elaine Johnson Orgeron Nurse Practitioner 226 Bouverans Cir, Lockport, LA 70374-3114 2019-07-10
1255843801 Jennifer Michelle Middleton Nurse Practitioner 7505 Pines Rd Ste 1235, Shreveport, LA 71129-3900 2017-11-03
1477927689 Alanna Denise Hebert Nurse Practitioner 1366 Mamou Prairie Rd, Basile, LA 70515-3939 2015-11-26
1861645616 Sonya Renee Pittman Nurse Practitioner 4426 S Carrollton Ave, New Orleans, LA 70119 2008-10-24
1699744664 Northlake Rehab Professionals Nurse Practitioner 2101 Robin Ave, Hammond, LA 70403-5772 2006-03-14
1992700272 Maureen Adrian Poe Nurse Practitioner 1204 W Prien Lake Rd, Lake Charles, LA 70601-8371 2005-06-14
1619595634 Marguerita M Griffin Nurse Practitioner 2503 Broadmoor Blvd, Monroe, LA 71201-2987 2020-07-07
1225665417 Jacob Robert Rickoll Nurse Practitioner 1631 Elysian Fields Ave, New Orleans, LA 70117-8208 2020-03-26
1447882162 Kristen M. Hill Nurse Practitioner 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 2020-02-11
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Competitor

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City SLIDELL
Zip Code 70458

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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