| Millicent R Harrison, CRNP | |
|
105 E Watts St, Enterprise, AL 36330-2511 | |
| (334) 393-5437 | |
| (334) 393-4185 |
| Full Name | Millicent R Harrison |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 105 E Watts St, Enterprise, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063956233 | NPI | - | NPPES |
| 1-140707 | Other | AL | STATE LICENSE |
| 195503 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-140707 (Alabama) | Primary |
| Entity Name | Southeast Alabama Rural Health Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891856134 PECOS PAC ID: 8123009057 Enrollment ID: O20040526001591 |
| Mailing Address | Practice Location Address |
|---|---|
| Millicent R Harrison, CRNP 1414 Elba Hwy, Troy, AL 36079-6020 Ph: (334) 670-6726 | Millicent R Harrison, CRNP 105 E Watts St, Enterprise, AL 36330-2511 Ph: (334) 393-5437 |
Ms. Julie Frances Hughes, C.P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Professional Ln, Enterprise, AL 36330 Phone: 334-393-7337 | |
Jessica E Poitevint, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 E Watts St, Enterprise, AL 36330 Phone: 334-393-5437 Fax: 334-393-4185 | |
Samantha Elizabeth Pickett, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 806 Glover Ave Ste A, Enterprise, AL 36330 Phone: 334-475-2680 Fax: 334-475-2681 | |
Brandon Skinner, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 404 N Main St, Enterprise, AL 36330 Phone: 334-308-9797 | |
Amber Amuso Williams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Professional Ln, Enterprise, AL 36330 Phone: 334-347-3404 | |
Neysa Hernandez, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2841 Neil Metcalf Rd, Enterprise, AL 36330 Phone: 334-347-9574 Fax: 334-347-7104 |